Registered Nurse (RN - Hospital) - Home Health & Hospice

Coordinates total nursing care for patients of all ages utilizing the nursing process; directs patient and family teaching; provides leadership by working cooperatively with ancillary nursing and other patient team personnel in maintaining standards for professional nursing practice in the clinical setting.

Schedule

Part-time benefitted position working 64 hours per two-week pay period. Days are Monday - Friday with every 4th weekend and every 5th holiday. Night call is one night every 2 weeks.

Responsibilities

• Maintains the standards of nursing care and implements the policies and procedures of the hospital and Clinical Services.
• Provides direct patient care for assigned patients of all ages including pediatrics, adult and geriatrics, utilizing the nursing process including assessment, planning, intervention and evaluation.
• Assesses the patient's condition considering age-specific developmental needs, educational needs of patient and family, and discharge planning needs.
• Develops a plan of care for the patient and prescribes appropriate nursing interventions to achieve expected patient outcomes.
• Evaluates patient outcomes and modifies plan of care as patient’s needs or condition changes.
• Directs and participates in discharge planning and patient and family/significant other education.
• Reports pertinent observations and reactions regarding patients to the appropriate person (i.e., physicians, Unit Supervisor, and/or Nursing Manager) and records those observations accurately and concisely.
• Delegates nursing care to other health care members in accordance with the patient's needs and the nursing personnel's capabilities and qualifications.
• Administers medications, IV therapy, and performs treatments for assigned patients as ordered by the physician.
• Assists physicians with special tests and procedures such as thoracentesis, lumbar tap, etc.
• Ensures that equipment is maintained in a clean and safe manner.
• Participates in orientation of new personnel and performance evaluations of nursing staff.
• Coordinates nursing care of patients when scheduled for therapy or procedures by other departments.
• Establishes and maintains effective communications with patients, families, and staff to contribute to the hospital mission.
• Initiates and/or assists in emergency measures for sudden adverse developments in patients such as cardiac arrest.
• Participates in the maintenance of a clean and safe environment.
• Participates in staff development programs.
• Performs other related duties as assigned or requested.

Requirements

• Professional level of knowledge acquired by completing an accredited RN nursing education program.
• Must hold RN licensure from the ND State Board of Nursing for the current year.
• ED staff nurse position requires PALS/ACLS certification. TNCC is highly encouraged.
• ICU staff nurse position requires completion of a basic cardiology class for nurses and ACLS certification.
• Family BirthPlace (FBP) staff nurse position requires completion of a basic fetal monitoring course and neonatal resuscitation course (NRP).
• Completion of BLS CPR.
• Required to attend Crisis Prevention Intervention (CPI) training in the appropriate timeframe according to department orientation checklist.
• Previous work experience preferred but not required for staff RN positions in Patient Care Unit (PCU). Exceptions include ICU Staff RN, FBP Staff RN, ED Staff RN, and PACU RN positions where a minimum of one year of nursing experience following completion of RN nursing education program is preferred.
• Time to reach competency on the job: 3 weeks to 3 months for entry-level staff RN; 3 weeks to 3 months following orientation for ICU, FBP, ED, and PACU RN positions.
• Punctual and regular attendance is required.
• High level of analytical ability required to gather and interpret complex data and find solutions to difficult problems.
• Independent nursing judgment is often required based on established policies and procedures.
• Very frequent contact with others; must demonstrate social sensitivity and the ability to communicate effectively in a professional manner.
• May supervise 1 to 5 nursing personnel including LPNs, Nurse Assistants, and Unit Clerks.
• High responsibility for the welfare of others; continuous upholding of the highest degree of performance within currently defined and acceptable nursing practice standards.
• Must be able to speak and write the English language in an understandable manner.
• Must demonstrate physical and emotional ability to meet agreed-upon work schedule and performance standards.
• Concentrated attention and visual acuity necessary for reading charts, working with medical devices, and interpreting testing procedures involving color comparisons.

Physical and Sensory Effort

• Frequent standing or walking.
• Lifts, positions, pushes, and/or transfers patients and/or equipment.
• Frequent reaching, stooping, bending, kneeling, and crouching.
• Needs finger dexterity when handling medication, specialized equipment, and performing nursing assessments.
• Continuous visual observation.
• Continuous use of hands and finger dexterity.
• Frequent hearing/listening.
• Occasionally works with hazardous materials and in noise.
• Continuous lifting/carrying/pushing/pulling up to 25 pounds; occasionally up to 75 pounds; rarely up to 100 pounds.

Working Conditions

• OSHA job classification: Category I with exposure to bloodborne pathogens.
• Exposure to patients with infectious disease and odor; must practice aseptic techniques and observe Standard Precautions.
• Participates in and complies with JRMC Safety Management program.
• Subject to frequent interruptions.
• Work may be on weekends, holidays, beyond normal working hours, and/or temporarily in other positions when necessary.

A comprehensive background check and drug screening will be conducted as a condition of employment for this role. A urine drug screening is required for all positions and must be completed within 30 days of the date of hire.