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ER RN

Company: Bozeman Health
Location: Bozeman
Posted on: November 28, 2019

Job Description:

Must possess the skills and abilities to engage in the nursing process including but not limited to the assessment, nursing analysis, planning, nursing intervention and evaluation in the promotion and maintenance of the patient's health across the continuum of life. Must have the skills needed to supervise and delegate appropriate functions to subordinate personnel. Must have the skills/abilities to evaluate and ensure that the medical plan of care is carried out. Must have the educational, physical and mental capabilities to perform procedures common to their nursing unit.Must complete department specific competency validation checklists within four (4) month probationary period or as designated per topic.REQUIREMENTSEDUCATIONRequired:Current Montana Registered Nurse LicensePreferred:BSNLICENSURE and CERTIFICATIONRequired:BLS Certification (American Heart Association) as a Healthcare Provider ACLS Certification or prior to the end of the orientation period PALS or ENPC certification within 1 year of hire TNCC or within 1 year of hire NIHSS Certification or within 6 months of hire Preferred:ENPCEXPERIENCERequired:Demonstrates competence in and a willingness and ability to practice modified primary nursing.Preferred:Minimum of one year emergency nursing or critical care experienceKNOWLEDGE OF, SKILLS IN, ABILITY TO, COMPLEXITY AND DIFFICULY:KNOWLEDGE OF:Personal Computers, hardware and basic software programs including e-mail, word processing, and spreadsheets.SKILLS IN:ABILITY TO:Refer to policy manual for specific instructions/guidelines. Follow established policies and Procedures.Adhere to the standards of the job description and overall philosophy of Bozeman Deaconess Hospital.COMPLEXITY AND DIFFICULTY:Work independently with a minimum of SupervisionESSENTIAL FUNCTIONS100% Time Spent -Collects Comprehensive data pertinent to the patient's health or the situation (Assessment) Collects data in a systematic and ongoing process.Involves the patient, family and other healthcare providers in data collectionPrioritizes data collection activities based on the patient's immediate condition, or anticipated needs of the patient or situationUses evidence-based assessment techniques in collecting pertinent dataUses problem solving thinkingSynthesizes available data, information and knowledge relevant to the situation to identify patterns and variancesAnalyzes the assessment data to determine diagnoses or issues (Diagnosis) Derives the patient nursing diagnoses or issues based on assessment dataValidates the nursing diagnoses or issues with the patient, family and other healthcare providers when possible and appropriateDocuments nursing diagnoses or issues in a manner that facilitates the determination of the expected Outcome or planIdentifies expected outcomes for a plan individualized to the patient or the situation Involves the patient, family and other healthcare providers in formulating expected outcomesDevelops culturally appropriate expected outcomes for the diagnosesDevelops expected outcomes that provide direction for the continuity of careModifies expected outcomes based on changes in the status of the patient or evaluation of the situationDevelops a plan that prescribes strategies and alternatives to attain expected outcomes (Plan of Care) Develops an individualized plan of care considering patient characteristics or the situationDevelops the plan in conjunction with the patient, family and others as appropriateIncludes strategies within the plan that address each of the identified diagnoses or issuesProvides for continuity within the planEstablishes plan priorities with the patient, family and others as appropriateUtilizes the plan to provide direction to other members of the healthcare teamImplements the identified plan of care Implements the plan of care in a safe and timely mannerDocuments implementation and any modifications to the plan of careUtilizes evidence-based interventions and treatments specific to the diagnoses or problemCollaborates with nursing colleagues and others to implement the plan of careCoordinates the implementation of the plan of careDocuments the coordination of careEmploys strategies to promote health and a safe environment Provides health teaching that addresses such topics as healthy lifestyles, risk-reducing behaviors, developmental needs, activities of daily living and preventative self-care.Seeks opportunities for feedback and evaluation of the effectiveness of health teaching strategies usedSystematically enhances the quality and effectiveness of nursing practice Demonstrates quality by documenting the application of the nursing process in a responsible, accountable, ethical manner.Uses the results of quality improvement activities to initiate changes in nursing practiceUses creativity and innovation in nursing practice to improve care deliveryIncorporates new knowledge to initiate changes in nursing practiceParticipates in quality improvement activities, including but not limited to:Identifying aspects of practice important for quality monitoringUsing indicators developed to monitor quality and effectiveness of nursing practiceCollecting data to monitor quality and effectiveness of nursing practiceAnalyzing data to identify opportunities for improving nursing practiceFormulating recommendations to improve nursing practiceImplementing activities to enhance the quality of nursing practiceDeveloping, implementing and evaluating policies, procedures and/or guidelines to improve the quality of practiceParticipating on interdisciplinary teams to evaluate clinical careParticipating in efforts to minimize costs and unnecessary duplicationAttains knowledge and competency that reflects current nursing practice Participates in ongoing educational activities related to appropriate knowledge bases and \ professional issuesDemonstrates a commitment to lifelong learning through self-reflection and inquiry to identify leaning needsSeeks experiences that reflect current practice in order to maintain skills and competence in clinical practice or role performanceAcquires knowledge and skills appropriate to the specialty area, practice setting, role or situationMaintains professional records that provide evidence of competency and life long learningSeeks experiences and formal and independent learning activities to maintain and develop clinical and professional skills and knowledgeEvaluates one's own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules and regulations The registered nurse's practice reflects the application of knowledge or current practice standards, guidelines, statutes, rules and regulationsProvides age appropriate care in a culturally and ethnically sensitive mannerEngages in self- evaluation of practice on a regular basis, identifying areas of strength, as well as areas in which professional development would be beneficialObtains informal feedback regarding one's own practice from patients, peers, professional colleagues and othersParticipates in systematic peer review as appropriateTakes action to achieve goals identified during the evaluation processProvides rationales for practice beliefs, decisions and actions as part of the informal and formal evaluation processesInteracts with and contributes to the professional development of peers and colleagues Shares knowledge and skills with peers and colleagues as evidenced by such activities as patient care conferences or presentations at formal or informal meetingsProvides peers with feedback regarding their practice and/or role performanceInteracts with peers and colleagues to enhances one's own professional nursing practice and/or role performanceMaintains compassionate and caring relationships with peers and colleaguesContributes to an environment that is conducive to the education of healthcare professionalsContributes to a supportive and healthy work environmentCollaborates with patient, family and others in the conduct of nursing practice Communicates with patient, family and healthcare providers regarding patient care and the nurses roleIn the provision of that care Collaborates in creating a documented plan, focused on outcomes and decisions related to care and delivery of services that indicates communication with patients, families and othersPartners with others to effect change and generate positive outcomes through knowledge of the Patient or situationDocuments referrals, including provisions for continuity of care.Integrates ethical provisions in all areas of practice Delivers care in a manner that preserves and protects patient autonomy, dignity and rightsMaintains patient confidentiality within legal and regulatory parametersServes as a patient advocate assisting patients in developing skills for self advocacyMaintains a therapeutic and professional patient-nurse relationship with appropriate professional role boundariesDemonstrates a commitment to practicing self-care, managing stress, and connecting with self and othersReports illegal, incompetent or impaired practicesIntegrates research findings into practice Utilizes the best available evidence including research findings to guide nursing practice decisionsActively participates in research activities at various levels appropriate to the nurse's level of education and position as opportunity affordsIdentifying clinical problems specific to nursing research (patient care and nursing practice)Participating in data collectionParticipating in a formal committee or programSharing research activities and/or findings with peers and othersConducting researchCritically analyzing and interpreting research for application to practiceUsing research findings in the development of policies, procedures, and standards of practice in patient careProvides leadership in the professional practice setting and the profession Engages in teamwork as a team player and a team builderWorks to create and maintain healthy work environmentsDisplays a commitment to life-long learning for self and othersTeaches others to succeed by mentoring and other strategiesExhibits creativity and flexibility through times of changeDemonstrates energy, excitement and a passion for quality workWillingly accepts mistakes by self and others, thereby creating a culture in which risk-taking is not only safe but expectedInspires loyalty through valuing people as the most precious asset in an organizationDirects the coordination of care across settings and among caregivers including oversight of licensed and unlicensed personnel in any assigned or delegated tasksServes in key roles in the work setting by participating on committees, councils and teamsPromotes advancement of the profession through participation in professional organizations.RN ADDENDUM: EMERGENCY DEPARTMENTEducation Completes mandatory Netlearning during probationary period.Attends available Emergency Nursing Educational offerings.Cardiac Ability to comply with hospital policy and procedures when caring for the patient with a temporary pacemaker.Ability to comply with hospital policy and procedure when caring for the patient with an arterial line.Ability to comply with hospital policy and procedure when caring for the patient with a CVP line.Ability to assist with set-up of equipment, insertion of catheters (lines), and calibration of equipment.Respiratory Ability to comply with hospital policy and procedures related to caring for patients on mechanical ventilation.Ability to assist with endotracheal intubation and extubation.Ability to assist with management of surgical airway.Rhythm Analysis Ability to use cardiac monitors; electrode placement, lead selection, alarm adjustments, and trouble shooting.Ability to interpret arrhythmias; sinus, atrial, junctional, ventricular and associated blocks.Trauma Ability to comply with hospital policies and procedures related to caring for patients with traumatic injuries.Ability to comply with hospital policies and procedures related to caring for patients with chest tubes, needle thoracentesis, pericardiocentesis and/or open chest massage.Additional Functions - StrokeComplies with hospital policies, procedures, protocols, and guidelines related to care for patients with an acute stroke.Completes required stroke compentency check list or chart review annually. Participates in four hours of initial cerebrovascular disease (stroke) education by November 1, 2018, or within one year of hire. Participates in two hours annually of cerebrovascular disease (stroke education).

Keywords: Bozeman Health, Bozeman , ER RN, Healthcare , Bozeman, Montana

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