Registered Nurse - Med Surg

Location: 1900 N Sunrise Dr, Saint Peter, MN, 56082, United States

About the Role

The registered nurse is accountable for the provision of nursing care to all patients in the hospital and for prescribing, delegating, and coordinating that care as part of daily responsibilities. The registered nurse will also participate in unit management, staff orientation, and self-development.

Responsibilities

• Assessment
  • Collects relevant patient data or reviews data collection on admission and ongoing to assure holistic assessment.
  • Assesses the demands of the patient's illness on the patient and the patient's potential for adaptation.
  • Performs and demonstrates a complete, systematic assessment, age-appropriate of all patient systems and focused assessments as needed.
  • Recognizes abnormal assessments and takes appropriate intervention and follow-up.
  • Reports abnormal assessments, lab values, and patient changes to Charge Nurse and Provider.
  • Continuously analyzes patient data to identify patient's needs using Nursing Diagnosis.
• Care Planning
  • Initiates, individualizes, and updates patient care plans based on patient diagnosis, needs, safety risks, and changes in patient condition.
  • Initiates and participates in team care planning/conferences.
  • Evaluates and documents patient's progression toward patient care plan goals.
  • Takes responsibility for assuring patients' needs are being met.
• Education
  • Assesses patient and family learning needs and barriers.
  • Adjusts education techniques to meet the needs of patients and families.
  • Educates patient and designated caregiver in self-care, treatments, procedures, disease, symptom management, etc.
  • Uses available resources and assures that education needs are met for all patients.
  • Educates patients, families, and caregivers on required Hospital Admission Education: infection prevention, fall risk, pain management, new medications, and current patient medications as needed.
• Admission and Discharge
  • On admission, performs a thorough systems, pain, and safety assessment and identifies patient's and family's needs.
  • Initiates discharge planning on admission and prepares the patient/family for timely discharges, including transfer and discharge sheets.
  • Assures that discharge planning meets the patient's/family's needs.
  • Initiates collaboration with physicians and other team/department caregivers to plan for patient's current and discharge needs.
  • Orients patients and families to the environment and the expected care plan.
• Documentation
  • Documents all patient assessment and interventions in the electronic medical record per policy.
  • Documentation is timely, accurate, concise, and objective.
• Nursing Responsibility
  • Performs nursing skills according to REHC policies and procedures using proper body mechanics and universal precautions.
  • Acts as a positive advocate to support patients and families.
  • Implements physician orders correctly and in a timely manner.
  • Serves as a teacher, mentor, and positive role model to others.
  • Keeps current in nursing knowledge.
  • Attends 80% of mandatory meetings.
  • Attends educational offerings that enhance knowledge in current role at REHC.
  • Attends educational offerings which contribute to the overall mission of REHC.
  • Performs patient hand-off report at shift change and at any other patient transfer; hand-off report is clear, concise, accurate, and objective.
• Organizational Skills
  • Manages multiple patient care assignments and prioritizes care to meet patient needs in an efficient method.
  • Completes assignments within expected time frames.
• Communication
  • Identifies self to patients and others, explains procedures, and uses positive communication techniques (AIDET).
• Collaboration
  • Participates in rounds with physicians and other team/department caregivers to plan for patient's current and discharge needs.
  • Assists REHC to maintain compliance with DNV rules and regulations.
  • Recognizes when standards are not being met, completes the appropriate event report, and makes changes that effectively bring the organization into compliance.
  • Assists in other departments as assigned and helps other staff to assure all patients are having their needs met.
  • Utilizes each staff member's expertise and delegates appropriately according to patient needs and acuity.
  • Assists in orientation of staff with courtesy and respect, including skill development, problem-solving, and decision-making.
  • Takes an active role in assuring that new employees are oriented in all aspects of the job, evaluating progress, and devising learning opportunities that meet the needs of the new employee.
• Unit Responsibility
  • Initiates decision-making with and in the absence of the Charge Nurse.
  • Maintains equipment properly and reports any issues.
  • Implements changes based on quality improvement findings.
  • Supports the philosophy and objectives of the department of nursing.
  • Promotes and influences a positive atmosphere in the department of nursing.
• Relationship Management
  • Follows all aspects of the Standards of Behavior.
  • Receives no patient/family/staff dissatisfaction comments annually.
  • Adheres to the Patient's Bill of Rights and follows the REHC confidentiality policy.
• Orthopedic Center of Excellence Skills
  • Provides care for patients suffering from arthritis, injuries, fractures, and osteoporosis including birth defects which may affect the bone or muscles.
  • Cares for patients undergoing joint-replacement surgery and orthopedic surgical procedures including shoulder surgery and spine surgery.
  • Performs admission and pre-operative prep of the patient for surgery.
  • Educates patients on their care plan, pain management plan including pre- and post-operative medications and pain scales, incentive spirometer, prevention of DVT, incisional care, elimination.
  • Educates patients on steps to take to manage pain and how to avoid post-surgical infections.
  • Instructs and reinforces patients, families, and caregivers on appropriate assistive devices and precautions (hip or knee precautions).
  • Performs ongoing assessments for pre- and post-operative pain, surgical complications, and surgical site infection.
  • Conducts ongoing assessment of patient stability and activity tolerance for standing, transferring, and ambulating with or without assistive devices while maintaining proper alignment of affected body part.
  • Assesses for discharge equipment needs and provides information for Case Management Team.
  • Provides discharge education to include mobility, surgical site care, anticoagulation, pain management, follow-up appointments, and when to call or be seen by a provider.

Requirements

• Graduate of an accredited school of nursing with a current Minnesota license.
• Certified in Basic Life Support (BLS) (American Heart Association).
• ACLS or ability to complete ACLS within six months of hire.
• PALS or ability to complete PALS within six months of hire.
• Registered nurses caring for trauma admissions to the medical/surgical floor are required to complete a trauma training course within six weeks of hire and complete a TNCC course within eighteen months of hire.
• At time of hire must have American Heart (BLS) - Red Cross (CPR) - or comparable with prior approval.
• Will be added to RQI and complete quarterly courses to be certified in American Heart (BLS) within the first 3 months of employment.
• Sincere interest in nursing with knowledge in general medical/surgical nursing and the ability to use the nursing process.
• Ability to interact in a positive and cooperative manner with courtesy and respect towards co-workers, patients, and other customers.
• One to two years of experience as an RN.
• Minimum one year of hospital experience.
• Bachelor's Degree preferred.

Schedule

0.9 FTE (72 hours per two weeks), day/night rotating shifts, 12-hour shifts, working every third weekend and every third holiday.

Pay

$38.22 - $58.37 per hour.

Benefits

• Medical, dental, vision, and life insurance.
• Holiday Pay.
• National Certification Bonus.
• PERA Public Retirement Association of Minnesota defined pension benefit plan.
• 457 Retirement plans.
• Flexible Spending & Health Savings Accounts.
• Employee referral bonus.
• Longevity Bonus.
• Voluntary accident, critical illness, and hospital indemnity.
• Employer-paid short-term disability.
• Clothing Allowance.
• Tuition reimbursement and Student Loan Forgiveness.
• Free membership to LiveWell Fitness Center.