Bozeman Health RN in Bozeman, Montana
Bozeman Health Deaconess Hospital
Casual Call (Per Diem/As Needed)
Variable casual call position. Every other weekend and holidays
Job Details:POSITION DESCRIPTION POSITION SUMMARY 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. REQUIREMENTS EDUCATION Required: Current Montana Registered Nurse License Preferred: BSN LICENSURE and CERTIFICATION Required: 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: ENPC EXPERIENCE Required: Demonstrates competence in and a willingness and ability to practice modified primary nursing. Preferred: Minimum of one year emergency nursing or critical care experience ESSENTIAL FUNCTIONS 100% 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 collection Prioritizes data collection activities based on the patient's immediate condition, or anticipated needs of the patient or situation Uses evidence-based assessment techniques in collecting pertinent data Uses problem solving thinking Synthesizes available data, information and knowledge relevant to the situation to identify patterns and variances Analyzes the assessment data to determine diagnoses or issues (Diagnosis) Derives the patient nursing diagnoses or issues based on assessment data Validates the nursing diagnoses or issues with the patient, family and other healthcare providers when possible and appropriate Documents nursing diagnoses or issues in a manner that facilitates the determination of the expected Outcome or plan Identifies expected outcomes for a plan individualized to the patient or the situation Involves the patient, family and other healthcare providers in formulating expected outcomes Develops culturally appropriate expected outcomes for the diagnoses Develops expected outcomes that provide direction for the continuity of care Modifies expected outcomes based on changes in the status of the patient or evaluation of the situation Develops 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 situation Develops the plan in conjunction with the patient, family and others as appropriate Includes strategies within the plan that address each of the identified diagnoses or issues Provides for continuity within the plan Establishes plan priorities with the patient, family and others as appropriate Utilizes the plan to provide direction to other members of the healthcare team Implements the identified plan of care Implements the plan of care in a safe and timely manner Documents implementation and any modifications to the plan of care Utilizes evidence-based interventions and treatments specific to the diagnoses or problem Collaborates with nursing colleagues and others to implement the plan of care Coordinates the implementation of the plan of care Documents the coordination of care Employs 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 used Systematically 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 practice Uses creativity and innovation in nursing practice to improve care delivery Incorporates new knowledge to initiate changes in nursing practice Participates in quality improvement activities, including but not limited to: Identifying aspects of practice important for quality monitoring Using indicators developed to monitor quality and effectiveness of nursing practice Collecting data to monitor quality and effectiveness of nursing practice Analyzing data to identify opportunities for improving nursing practice Formulating recommendations to improve nursing practice Implementing activities to enhance the quality of nursing practice Developing, implementing and evaluating policies, procedures and/or guidelines to improve the quality of practice Participating on interdisciplinary teams to evaluate clinical care Participating in efforts to minimize costs and unnecessary duplication Attains knowledge and competency that reflects current nursing practice Participates in ongoing educational activities related to appropriate knowledge bases and \ professional issues Demonstrates a commitment to lifelong learning through self-reflection and inquiry to identify leaning needs Seeks experiences that reflect current practice in order to maintain skills and competence in clinical practice or role performance Acquires knowledge and skills appropriate to the specialty area, practice setting, role or situation Maintains professional records that provide evidence of competency and life long learning Seeks experiences and formal and independent learning activities to maintain and develop clinical and professional skills and knowledge Evaluates 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 regulations Provides age appropriate care in a culturally and ethnically sensitive manner Engages in self- evaluation of practice on a regular basis, identifying areas of strength, as well as areas in which professional development would be beneficial Obtains informal feedback regarding one's own practice from patients, peers, professional colleagues and others Participates in systematic peer review as appropriate Takes action to achieve goals identified during the evaluation process Provides rationales for practice beliefs, decisions and actions as part of the informal and formal evaluation processes Interacts 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 meetings Provides peers with feedback regarding their practice and/or role performance Interacts with peers and colleagues to enhances one's own professional nursing practice and/or role performance Maintains compassionate and caring relationships with peers and colleagues Contributes to an environment that is conducive to the education of healthcare professionals Contributes to a supportive and healthy work environment Collaborates with patient, family and others in the conduct of nursing practice Communicates with patient, family and healthcare providers regarding patient care and the nurses role In 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 others Partners with others to effect change and generate positive outcomes through knowledge of the Patient or situation Documents 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 rights Maintains patient confidentiality within legal and regulatory parameters Serves as a patient advocate assisting patients in developing skills for self advocacy Maintains a therapeutic and professional patient-nurse relationship with appropriate professional role boundaries Demonstrates a commitment to practicing self-care, managing stress, and connecting with self and others Reports illegal, incompetent or impaired practices Integrates research findings into practice Utilizes the best available evidence including research findings to guide nursing practice decisions Actively participates in research activities at various levels appropriate to the nurse's level of education and position as opportunity affords Identifying clinical problems specific to nursing research (patient care and nursing practice) Participating in data collection Participating in a formal committee or program Sharing research activities and/or findings with peers and others Conducting research Critically analyzing and interpreting research for application to practice Using research findings in the development of policies, procedures, and standards of practice in patient care Provides leadership in the professional practice setting and the profession Engages in teamwork as a team player and a team builder Works to create and maintain healthy work environments Displays a commitment to life-long learning for self and others Teaches others to succeed by mentoring and other strategies Exhibits creativity and flexibility through times of change Demonstrates energy, excitement and a passion for quality work Willingly accepts mistakes by self and others, thereby creating a culture in which risk-taking is not only safe but expected Inspires loyalty through valuing people as the most precious asset in an organization Directs the coordination of care across settings and among caregivers including oversight of licensed and unlicensed personnel in any assigned or delegated tasks Serves in key roles in the work setting by participating on committees, councils and teams Promotes advancement of the profession through participation in professional organizations. RN ADDENDUM: EMERGENCY DEPARTMENT Education 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.