Registered Nurse - Emergency

Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Location: Methodist Fremont Health
Address: 450 E 23rd St. - Fremont, NE

Work Schedule: (3) 12-hour night shifts 7pm-7am.

The practice of nursing by a registered nurse shall mean the assumption of responsibility and accountability for those nursing actions which include, but are not limited to: assessment, planning, implementation and evaluation of a nursing diagnosis. Execution of the prescribed diagnostic and therapeutic treatment regiments, administering, delegating, and evaluating nursing activities.

Responsibilities:

Essential Functions

Critical Thinking

• Demonstrates sensitivity and understanding of patient's rights.
• Transcribes/countersigns physician orders; implements orders and documents of all patient-related information; receives and interprets physician orders, allowing no misunderstanding.
• Demonstrates sensitivity and insight of patient's ability to understand what activity is occurring during Methodist Fremont Health (MFH) visit/hospitalization.
• Notifies physicians of pertinent observations and reactions, incidents, and abnormal laboratory and x-ray results, as required.
• Is accurate and complete in planning care for the patient according to needs from admission to discharge.
• Shows ability to modify planning according to the current flow of events while maintaining positive patient outcomes.
• Maintains standards of nursing care and implements policies and procedures of the hospital and department.
• Documentation of all assessments and reassessments implementation and evaluation of patient care determined is accurate, legible, and timely.
• Utilizes effective clinical delegation skills. Demonstrates accountability from knowing that appropriate nursing care is being delivered to assigned patients and evaluates outcome of delegation.
• Always demonstrates accountability for administration of, observation and reporting effects of drugs, intravenous procedures, other therapeutic and diagnostic measures in a safe and accurate manner; carefully orders, prepares, administers and evaluates medication and intravenous therapy.

Patient Care

• Is able to accurately assess care for a patient's unique need (I.e. diagnosis, age) including physical-psychosocial aspects in accordance with unit guidelines.
• Utilizes the history and assessment information to identify patient problems or potential problems and set goals.
• Demonstrates the ability to effectively utilize the nursing process when providing direct patient care for all individuals from infancy through advanced age, as unit competency completed.
• Executes planned care and evaluation outcomes for all patients under his/her care. Modifies the care plan according to evaluated outcomes.
• Communicates pertinent information regarding patient care appropriately (I.e. shift report, unit to unit, transfer, etc.).
• Assesses, develops, and implements a teaching plan for patients/families; utilizes assessment data and discharge plan in a meaningful way for each patient's ability to understand. Monitors plan according to need.
• Maintains standards of nursing care and implements policies and procedures of the hospital and the department.
• Provides direct patient care utilizing professional nursing skills and judgment according to physicians and other licensed practitioner's orders.

Technical

• Performs technical aspects of patient care and consistently demonstrates clinical competencies according to established policies and procedures; utilizes proper techniques; adapts techniques to unique needs of individual patients.
• Is proficient in operation of supporting equipment (including, but not limited to) Pyxis, computer data entry, One Touch, and IMED.
• Demonstrates safety consciousness and incorporates safe practice at all times.
• Performs technical aspects of patient care according to established policies and procedures. Demonstrates ability to organize and execute new procedures.
• Demonstrates proficiency in placing, evaluating, and maintaining IV lines.
• Demonstrates ability to operate various equipment and supplies that are used.
• Demonstrates proficiency in airway management.
• Demonstrates ability to perform in an accurate and precise manner in emergency situations.
• Provides for patient comfort; positioning, extra bathing, straightening linens, putting personal articles within reach, courtesy, responsiveness as required.

Schedule:

(3) 12-hour night shifts 7pm-7am.

Job Description:

Job Requirements

Education

• A formal training program after high school required.
• Graduate from an accredited Diploma School of Nursing/College of Nursing with an Associate of Science in Nursing (ASN) or Bachelor of Science (BSN) required.

License/Certifications

• Current valid Registered Nurse (RN) license, valid compact multistate license, or a temporary permit while awaiting licensure required.
• 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 Cardiac Life Support (ACLS) certification required within 6 months of hire.
• Current American Heart Association Pediatric Advanced Life Support (PALS) certification required within one year of hire.
• Trauma Nurse Core Curriculum (TNCC) required within two years of hire.
• Emergency Nurse Pediatric Course (ENPC) required within two years of hire.
• Certified Critical Care Nurse (CCRN) preferred.
• Certified Emergency Nursing (CEN) preferred.
• Neonatal Resuscitation Program (NRP) preferred.

Experience

• One to two years nursing experience preferred.
• Emergency or Acute care nursing experience preferred.

Skills

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
  • Distinguish colors
  • Keyboarding/Typing
  • Lifting
  • Pulling/Pushing
  • Repetitive Motions
  • Stooping/bending
  • Twisting
• Constantly Performed (67%-100%):
  • Grasping
  • Hearing
  • Reaching
  • Seeing/Visual
  • Speaking/talking
  • Standing
  • Walking

Environmental

• Located in an indoor area with frequent exposure to mild physical discomfort from dust, fumes, temperature, and noise.  Examples: patient care providers and laboratory technicians.

Job Hazards

• Not Related:
  • Electrical Shock/Static
• Rare (1-33%):
  • Radiation Alpha, Betz 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) (Blood or Body Fluid-BBF)
  • Mechanical moving parts/vibrations

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.