Staff RN-Med/Surg-Critical Care-Observation Unit

Principal Job Functions

• Commits to the mission, vision, beliefs and consistently demonstrates our core values.
• Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center’s procedures.
• Synthesizes pertinent initial and ongoing patient data to identify nursing priorities for care and desired outcomes/goals.
• Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and patient-specific needs.
• Executes therapeutic and/or supportive interventions.
• Provides education for the patient and family to meet identified patient needs according to their needs, abilities, preferences and readiness to learn.
• Evaluates the patient’s response to and effectiveness of interventions.
• Evaluates patient’s progress toward established outcomes.
• Incorporates cultural considerations into the plan/delivery of care.
• Includes family, significant other, or identified support person in the care of the patient as appropriate.
• Demonstrates effective interpersonal skills in collaborating with the interdisciplinary team including nurses, physicians and ancillary staff.
• Completes the admissions navigation process on scheduled, unscheduled or direct patient admissions on patient care units and the Emergency Department.
• Supports the patient discharge process in terms of finalizing discharge orders, including medications; makes follow-up appointments, calls in prescriptions.
• Affords patient/family readiness for discharge planning and makes appropriate referrals.
• Observes for safe medication administration and performs dual signoff if appropriate.
• Implements and documents nursing interventions consistent with the plan of care.
• Effectively manages multiple responsibilities, prioritization, urgent responses and challenging situations.
• Provides documentation and support to safety/quality initiatives.
• Displays proficiency utilizing monitoring technology and Epic EMR.
• Reports to manager from primary unit of employment, in collaboration with Virtual Patient Care Services leadership.
• Assists with/performs other responsibilities as Virtual Nursing platform functionality expands and matures.

Additional Job Functions

• Provides documentation and care support to a diverse population of patients across inpatient units.
• Via video monitoring, provides support to direct patient care team through direct observation and documents as appropriate.
• Collaborates on assessments for assigned patients in partnership with bedside nurses as evidenced by complete documentation.
• Establishes an effective communication plan with bedside nurses and support staff to address changes in patient condition.
• Utilizes appropriate nursing diagnosis and data from assessment to derive realistic outcomes.
• Collaborates with bedside nurses to document measurable goals on the plan of care and modifies the plan of care if indicated in order to maintain realistic patient-centered goals.
• Follows the organization’s chain of command in appropriate circumstances.
• Collaborates with all members of the health care team including providers when planning patient care and documents accordingly.

Education And Experience

• Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act.
• Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations.

Physical Requirements

• (DOT) – Characterized as medium work requiring exertion of 35 to 50 pounds of force occasionally, and/or 10 to 35 pounds of force frequently, and/or a greater than negligible up to 10 pounds of force constantly to move objects.