CAREERS

Under general direction, the Housekeeper cleans all areas of the hospital by performing routine cleaning of patient rooms, nursing units, offices, clinical areas, waiting areas, lobbies, lounges, restrooms, and corridors. Demonstrate ability to utilize the appropriate chemicals and supplies according to procedure. This is a full-time 40 hr/wk position with rotating weekends & holidays.

Education and/or Experience

• High school diploma or equivalent.  

• Ability to communicate effectively with patients and staff.

SIGNIFICANT DUTIES 

• Promote the mission, vision, and values of the organization 

• Performs all assigned tasks in a professional manner in order to reflect the highest integrity of the Environmental Services Department

• Performs routine cleaning of patient rooms, nursing units, offices, clinical areas, waiting areas, lobbies, lounges, restrooms and corridors in a clean, neat and sanitary manner.

• Performs terminal/detailed cleaning of the OR rooms by following check list or as instructed by OR personnel 

• Performs laundry service in house and complies with all safety codes in doing so.

• Completes work assignments in a timely manner. 

• Utilizes the appropriate chemicals and supplies according to procedure. 

• Uses and maintains equipment properly. 

• Assists visitors with directions whenever requested. 

• Always introduces self to patients, families and visitors. 

• Reports safety hazards as appropriate. 

• Transports trash and hazardous waste to appropriate disposal area. 

• Replenishes supplies. 

• Follows all infection control practices including hand washing techniques, Standard Precautions and isolation precautions. 

• Maintains set quality standards when performing job duties. 

• Works day, evening or night shifts as assigned. 

• Ability to do work on his/her own with normal supervision. 

• Observes safety precautions at all times. 

• Maintains age specific safety precautions. 

• To apply common sense understanding to carry out detailed but uninvolved written or oral instructions. 

• Read and understand equipment operation manual. 

• Assist with cleaning and maintaining carpet and tiled floors by using heavy equipment to clean, strip and wax floors.

• Cooperate with other personnel to achieve departmental objectives, maintain good employee relations and interdepartmental objectives. 

• Enhance professional growth and development through participation in educational programs, trainings, current literature, in-service meetings and workshops.   Shows responsibility for own professional practice and ongoing education. 

GENERAL REQUIREMENTS

• Perform other duties as assigned

• Must be able to assume duties of each housekeeping staff in a time of need.

• Adhere to dress code, appearance is neat and clean.

• Complete annual education requirements.

• Maintain patient confidentiality at all times.

• Report to work on time and as scheduled.

• Wear identification while on duty.

• Maintain regulatory requirements, including all state, federal and local regulations.

• Represent the organization in a positive and professional manner at all times.

• Comply with all organizational policies and standards regarding ethical business practices.

• Communicate the mission vision and values of the organization.

• Participate in performance improvement and continuous quality improvement activities.

• Attend regular staff meetings 

• Must maintain a valid driver’s license 

• Knowledge of environmental services

• Strong organizational and interpersonal skills

• Determine appropriate course of action in more complex situations

• Work independently, exercise creativity, be attentive to detail, and maintain a positive attitude

• Manage multiple and simultaneous responsibilities and to prioritize scheduling of work

• Maintain confidentiality of all medical, financial, and legal information

• Complete work assignments accurately and in a timely manner

• Communicate effectively, both orally and in writing

• Handle difficult situations involving patients, physicians, or others in a professional manner

Physical Requirements and Environmental Conditions

• Working irregular hours including call hours 

• Physically demanding, high-stress environment

• Exposure to blood and body fluids, communicable diseases, chemicals, radiation, and repetitive motions 

• Pushing and pulling heavy objects 

• Full range of body motion including handling and lifting patients

• Position requires light to moderate work with 50 pounds maximum weight to lift and carry. 

• Position requires reaching, bending, stooping, and handling objects with hands and/or fingers, talking and/or hearing, and seeing. 

General Sign-off

• The employee is expected to adhere to all policies and to act as a role model in adherence to those policies.

• The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities.

The Clinic Bridge Navigator works to coordinate patient care by providing a “bridge” between the medical providers, their clinical team, and clerical staff per established clinic protocols.  This team member works with all clinical staff in the delivery of patient care.  This is a full time, 40 hour per week position located at the Medical Clinic.

QUALIFICATIONS

Minimum:

•             High school diploma or equivalent required.  

•             Computer skills including Outlook, Word, and Excel required. 

•             Current CPR certification or obtained within 2 months of hire.

Preferred:

•             Registered (RN) or Licensed Practical (LPN) Nurse

•             Two years of clinical experience preferred.

•             Background in medical and pharmacology terminology preferred.

•             Excellent organizational, customer service and communication (written and verbal) skills necessary.

Roles and Responsibilities:

•             Manages patient prescription refills from a variety of sources, fax system and messages filtered through reception.  Disseminates refill requests and obtains insurance prior authorizations for prescriptions when indicated.

•             Collects pertinent records regarding ordered referrals and submits information to the appropriate facility.  Obtains prior authorization from insurance companies for ancillary services when indicated.  Places external referral order in electronic health record (EHR) for referral tracking purposes.  Maintains clear & frequent communication with patients regarding referral status.  

•             Assists with scheduling ordered consults and procedures that initiate from the clinic.  Coordinates with patient financial services (PFS) to ensure patients financially qualify for services.  Maintains clear & frequent communication with patients regarding procedure scheduling status.

•             Tracks all referrals and assures follow-up records are uploaded into the patient’s chart. Patient referral declinations are documented in the chart, and the referral will be “canceled/DC” in the EHR.  

•             When indicated, obtains insurance prior authorization for patient imaging studies, including CTs, MRIs, and echocardiograms.  Once authorization has been obtained, patient is scheduled either by Melham Radiology Department or by external facility.

•             Participates in mandatory training for EHR and demonstrate basic competency in the functions applicable to their role.

•             Works directly with providers and other clinic/hospital staff

•             Cooperates with other personnel to achieve department objectives.

•             Performs other duties as assigned.

Key Performance Indicators

•             Calm and consistent approach when providing great customer service

•             Managing at a high level, confidential mission critical work

•             Great written and verbal skills

•             Always looking for ways to provide process improvement

The RN renders collaborative nursing care via the Method of Practice, Patient Coordinated Care, to a caseload of patients for an assigned shift in accordance with the healthcare practitioner’s treatment plan, nursing standards of care/practice and professional code of ethics.  The RN is committed to promoting the health potential of the patient (body-mind-spirit) through the implementation of the nursing process.  Demonstrates ability to delegate appropriately and direct staff in the coordination and delivery of care; assumes responsibility for the appropriate utilization of care resources; demonstrates positive interpersonal relationships with others in problem resolution, is sensitive to the needs of patients, families, and fellow workers. This is a part time, 24 hr/wk position with rotating holidays and weekends. Shift hours are 11:00am – 11:30pm.   A $3500 sign on bonus is eligible with this position.

II. SUPERVISION

A.           Reports directly to the Emergency Department Manager

B.           Reports indirectly to the House Supervisor and other managers covering the department.

C.           Delegates and directs assigned shift caseload team which may be comprised of RN’s, NSS LPN and NSS CNA.

III. QUALIFICATIONS

A.           Graduate of School of Nursing

B.           Current Nebraska State License or Compact license as a Registered Nurse required.

C.           Clinical and/or work nursing experience in a hospital with ability to perform duties in the emergency department setting is preferred.

D.           Professional knowledge of nursing practice, and regulation to support patient care delivery.

E.           Basic Life Support within 3 months of hire and maintained.

F.            ACLS and PALS within 6 months of hire and maintained.

G.           TNCC required within one year of hire.

H.           NRP preferred or ability to obtain within 6 months of hire.  

I.             Job functions must be performed on site with regular attendance.

J.             ICS 100 and 200 or ability to obtain within 12 months of hire.

IV. GENERAL REQUIREMENTS  

A.           Demonstrate commitment to the organizational mission, vision, and core values.

B.           Maintain clinical competency as required for emergency department including but not limited to age-specific competencies relative to growth and developmental needs of all ages of patients.

C.           Knowledge of federal and state regulations related to nursing applications and relative practice area.

D.           Communicate effectively verbally and in writing.

E.           Delegate, oversee, and evaluate the work of all NSS LPN and CNA patient care staff members.

F.            Maintain confidentiality of patient information

G.           Exercise professional judgment, courtesy, and professionalism in daily interactions with others

H.           Demonstrates relationship management and influencing behaviors. 

a.           Conflict resolution skills

b.            Critical conversation skills

c.            Mediation skills

I.             Demonstrates knowledge of Melham Medical Center Compliance Program, Code of Conduct, and Confidentiality standards.  Monitors staff adherence and knowledge of standards.

J.             Serves designated role for emergency management plan response.  Follows instructions from Incident Command as appropriate.

K.           Demonstrates knowledge of risk management, quality review reports, Sentinel Events, near misses and non-punitive work environment concepts.

a.           Incident reporting SQSS

b.            Compliance and safety reporting

c.            Abuse/neglect reporting

d.           Patient rights

e.            Staff rights

f.             Appropriately completes and/or supports reporting of events and forms as needed.

L.            Completes yearly self and staff evaluations/reviews and development plan.

M.          Attends meetings as assigned.

N.           Attends 75% of monthly staff meetings and keeps updated on information.

O.           Completes annual on-going competency plan.

P.            Attends mandatory in-services and/or programs.

Q.           Maintains certifications.

V. SIGNIFICANT DUTIES 

A.           Initiates assessment/reassessment based on the patient’s needs per nursing standards, organization policy and procedures.

B.           Synthesizes pertinent patient data to develop nursing care plans and identify nursing priorities for care and desired outcomes.

C.           Collaborates with the interdisciplinary team to coordinate and provide patient care.

D.           Demonstrates knowledge and skill in nursing theory and ability to learn and develop competence in patient care across the lifespan.

E.           Demonstrates the ability to learn new practices and has the ability to practice in multiple settings within the rural hospital – medical/surgical, pediatric, neonatal, emergency and skilled care. 

F.            Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and age-specific needs.

G.           Executes, directs, supervises and/or assigns other staff members to perform therapeutic and or supportive interventions.

H.           Evaluate the patient’s response to and effectiveness of interventions.

I.             Evaluates the patient’s progress toward established outcome.

J.             Incorporates cultural considerations into the plan/delivery of care. 

K.           Includes family and/or significant others in the care of the patient as appropriate.

L.            Documents patient care and related information according to Melham procedures for documentation

M.          Facilitates a patient’s transition to next level of care including admission, discharge, and transfers.

N.           Demonstrates knowledge of EMTALA regulation and paperwork.

O.           Assumes responsibility in a shared or delegated assignment and supports team member’s practice through timely communication.

P.            Services as a role model to colleagues, students, and other care providers

Q.           Actively participates in continued learning opportunities and continued self-development pertinent to all of emergency department nursing.

R.           Proficient in the management of provider orders in CPOE and in the order management system

S.           Maintains effective communication channels with the entire healthcare team.

T.            Acts as a resource to the healthcare team. 

U.           Performs other related duties as assigned.

V.            Performs focused nursing assessment for presenting condition: may use the patient/family, EMS chart, community agencies as a source of information.  

W.          Completes patient triage to identify patient medical treatment needs and intervention level. Records patient triage and supports the initiation of the patient log via tracking board including updates of medical diagnoses at disposition. 

X.           Demonstrates knowledge of the level IV trauma center regulations and treatment protocols of TNCC for stabilization and transfer of the trauma patient.

Y.            Supports and develops provider discharge plan of care by implementing patient/family education based on ED diagnosis, and individualized needs, including actions to take if condition worsens or if the patient condition does not meet Melham admission criteria, supports patient stabilization and transfer to a higher level of care.

The RN or LPN is responsible for providing professional nursing care for patients including assessment, treatment, care planning, and medical care evaluation by following established standards and practices.  This is a full time, 40 hr/wk position at the Medical Clinic.

Education and/or Experience: 

RN degree. Completion of nursing training from an accredited school of nursing. BSN preferred. Minimum of one-year professional nursing experience, clinic experience preferred, 

OR,

LPN degree with completion of nursing training from an accredited school of nursing. Minimum of one-year professional nursing experience, clinic experience preferred. 

Certification: 

•             CPR required 

•             Current State RN or LPN License

SIGNIFICANT DUTIES

• Obtains patient consent for care and ensures patient confidentiality. 

• Obtains and documents health history, information on chief complaint, vital signs, and health risk factors and assesses disease condition. 

• Provides patient care based on practice guidelines, standards of care, and federal/state laws and regulations.

• Executes prescribed treatments and medical interventions, administers prescribed medications, and monitors and documents treatment progress and patient response. 

• Delegates as allowed under the Nurse Practice Act. 

• Refers to/consults with physicians, other health providers, and community resources to prevent/resolve problems or concerns. 

• Educates patients and families about health status, health maintenance, and management of acute and chronic conditions.

• Documents patient assessment and intervention data using established medical record forms/automated systems and documentation practices.

• Participates in multidisciplinary teams to improve patient care processes and outcomes. 

• Tracks quality assurance data and monitors for acute and chronic care management.

• Maintains/reviews patient records, charts and other pertinent information.  

• Posts tests and examination results.

• Responds to/refers incoming patient treatment-related phone calls.  

• Maintains patient confidentiality.

• Other duties as assigned.

GENERAL REQUIREMENTS

Knowledge, Skills, and Abilities:

• Knowledge of professional nursing theory, regulations and practices to give and evaluate patient care.

• Knowledge of nursing processes; health care systems, structure, and functions; and community resources. 

• Understanding of health care technology, equipment, and supplies. 

• Familiarity with state law on nursing care, nurse practice guidelines, and clinic policies and procedures.

• Knowledge of chart/medical record documentation requirements and federal/state laws related to release of health care information.

• Knowledge of common safety hazards and precautions to establish/maintain a safe work environment.

• Skill in applying and modifying the principles, methods and techniques of professional nursing to provide ongoing patient care. 

• Skill in time management, problem solving, multitasking, prioritizing, and medical care coordination.

• Skill in initiating appropriate crisis interventions and emergency response.

• Skill in patient triage in person and on the phone.

• Skill in preparing/maintaining records, writing reports and responding to correspondence.

• Ability to analyze options and then counsel patients and families about choices and make referrals to other providers and resources.

• Ability to engage clients and families in the development and implementation of a care plan.

• Ability to read and interpret physicians’ orders and notes from other providers.

• Ability to calculate and administer drug dosages and injections and measure results.

• Ability to maintain quality control standards.

• Ability to react calmly and effectively in emergency situations.

• Ability to communicate clearly.

• Ability to multi-task 

• Ability to take orders from physicians 

Equipment Operated: 

• Standard nursing equipment and supplies including thermometer, EKG machine, and syringes. May involve use of assistive devices such as walkers, wheelchairs, ventilators, pulse oximetry units, and oxygen tanks. Computer and devices. 

Work Environment: 

• Varied activities including standing, walking, reaching, bending, lifting.  Requires full range of body motion including handling and lifting patient’s manual and finger dexterity and eye-hand coordination. It requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 100 pounds. Requires corrected vision and hearing to normal range. Requires working under stressful conditions or working irregular hours.

Mental/Physical Requirements: 

• Combination of office and exam settings. Frequent exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations and other conditions common to a clinic environment.

Responsible for registering all patients, ensuring that all registration forms are completed and all other paperwork requirements are met and provide clerical support for fiscal department operations. 

This is a full time, 40 hour/wk position (4 x 10 hr days) & every 3rd Saturday from 7:00 – 12:00. 

This position is based at Melham Medical Center and is located on the hospital side of the organization.

Education and/or Experience

• High School Diploma

• Previous office experience preferred

• Proficient in Microsoft Excel

SIGNIFICANT DUTIES 

• Register patients in a timely, accurate and friendly manner while maintaining patient confidentiality at all times.

• Collect requested payment from patients at the time of service.

• Scan patient insurance cards into the computer.

• Obtain signatures for inpatient and outpatient observation patients that were admitted after hours.

• Follow up on after hours registrations for any missing or inaccurate information.

• Review registrations to ensure accuracy of all information previously entered.

• Prepare and update daily census of patients in the hospital and e-mail to in-house departments.

• Register all patients.  Ensure that all registration forms are completed and all other paperwork requirements are met.

• Provide general clerical assistance as assigned.

GENERAL REQUIREMENTS

• Adhere to the team approach and work well with fellow employees.

• Support the hospital, patients, and employees to accomplish the hospital’s mission, vision, and core values.

• Maintain accountability and responsibility for job performance and look for ways to improve.

• Be punctual and use time wisely.

• Show respect, politeness, consideration, and sympathy to patients, visitors, and fellow employees.

• Demonstrate good public relations by expressing to the public and fellow employees the desire for continuous quality improvement.

• Provide courteous service to the general public.

• Possess good written and verbal communication skills.

• Able to stay calm under stressful situations.

• Able to perform detail work.

• View computer monitor for extended periods of time, sometimes causing eye stress.

• Sit for extended periods of time.

• Assist and perform other clerical duties as assigned.

The Certified Nursing Assistant (CNA) works under the direction of a Registered Nurse and in accordance with the patient/family care plan to collect patient information and provide direct patient care contributing to the achievement of patient/family outcomes. As a member of the direct care team, the CNA is responsible and accountable for the complete and accurate collection and recording of data, completion of routine and delegated direct patient care activities and communicating and collaborating with the RN/LPN to prioritize the workload. The CNA helps to support and maintain a clean, safe work environment. Hours for this position is PRN only.

• Reports directly to the Acute Care Manager.

• Works under the supervision of the RN assigned each shift.

• Works collaboratively with other members of the team assigned to the RN and the department (LPN, NSS).

QUALIFICATIONS

• General High School Education or GED.

• Completion of a certified nursing assistants course required.

• Nurse Aide Certification required.

• Good communication and interpersonal skills.

• Ability to be scheduled for work based on operational needs of the hospital.

• Previous work experience in a healthcare setting preferred.

• BLS and/or completion within 6 months of hire and maintained.

GENERAL REQUIREMENTS

• Demonstrate commitment to the organizational mission, vision, and core values.

• Maintain clinical competency as required for Acute Care including but not limited to age-specific competencies relative to growth and developmental needs of all ages of patients.

• Knowledge of federal and state regulations related to nurse aides and scope of practice.

• Communicate effectively both verbally and in writing.

• Perform direct patient care overseen by RN and LPN patient care staff members. 

• Maintain confidentiality of patient information.

• Exercise professional judgment, courtesy, and professionalism in daily interactions with others.

• Demonstrates relationships management and influencing behaviors. 

o Conflict resolution skills

o Critical conversation skills

o Mediation skills

• Demonstrates knowledge of Melham Medical Center Compliance Program, Code of Conduct, and Confidentiality standards. 

• Serves designated role for emergency management plan response.  Follows instruction from Incident Command as appropriate.

• Demonstrates knowledge of risk management, quality review reports, Sentinel Events, near misses and non-punitive work environment concepts.

o Incident reporting SQSS

o Compliance and safety reporting

o Abuse/neglect reporting

o Patient rights

o Staff rights

o Appropriately completes and/or supports reporting of events and forms as needed.

• Completes yearly self and staff evaluations/reviews and development plan.

• Attends meetings as assigned.

• Attends 75% of monthly staff meetings and keeps updated on information.

• Completes annual on-going competency plan.

• Attends mandatory in-services and/or programs.

SIGNIFICANT DUTIES

• Performs direct patient care in accordance with performance standards listed on Skills Checklist according to the defined patient population of pediatrics, adults, and geriatrics.

• Collaborates with the interdisciplinary team to provide patient care.

• Demonstrates the ability to assist the RN with general patient care duties, including activities of daily living, vital signs, intake and output, measurements, and patient mobility.

• Utilizes SBAR communication to provide hand-off on information and to deliver safe patient care.

• Reports changes in patient condition in a timely manner to RN/LPN as appropriate.

• Demonstrates appropriate patient safety practices (i.e., gait belts, positioning of patients, lifting patients, etc.).

• Assists with transportation of patients to other departments within the facility under the direction of nursing staff.

• Assists Manager with maintaining availability of patient care supplies/linens according to department need.

• Demonstrates knowledge of infection control practices for the patient population served.

• Incorporates cultural considerations into the plan/delivery of care. 

• Includes family and/or significant others in the care of the patient as appropriate.

• Documents patient care and related information according to Melham procedures for documentation

• Demonstrates knowledge of EMTALA regulation.

• Services as a role model to colleagues, students, and other care providers.

• Performs additional work duties during low volume periods when core staffing is in place.

• Performs other related duties as assigned.

The Employee Health, Infection Prevention & Nurse Education Coordinator is responsible for the design, implementation, and oversight of three interrelated functions critical to organizational safety and quality: employee health services, infection prevention and control, and nursing professional development. This role safeguards the health and safety of the hospital's workforce, protects patients and staff from healthcare-associated infections and communicable disease exposure, and ensures nursing staff are competently onboarded, trained, and developed. The position requires independent clinical judgment, timely action on health and safety findings, and close coordination with hospital leadership, medical staff, and public health authorities. This is a full time, 40 hr per week position. A $7,000 hire bonus is eligible with this role.

Qualifications

•             Current, unencumbered Registered Nurse (RN) license in the State of Nebraska.

•             Associate or Bachelor of Science in Nursing required; BSN strongly preferred.

•             Minimum two years of clinical nursing experience; experience in infection prevention, employee health, or staff education preferred.

•             Certification in Infection Control (CIC) preferred, or willingness to obtain within an established timeframe.

•             Working knowledge of CDC, OSHA, CMS, and Nebraska DHHS regulations relevant to infection control and employee health.

•             Strong independent clinical judgment 

•             Excellent written and verbal communication skills, including comfort presenting to leadership and committees.

•             Proficiency with the hospital's electronic health record and employee health documentation systems.

Essential Duties & Responsibilities

Employee Health

•             Conduct pre-employment and periodic health screenings, including TB risk assessments, TST/IGRA testing and follow-up and interpretation of screening results, immunization review, and respirator fit testing.

•             Assessing symptomatic employees and determining work restriction or fitness for duty.

•             Review and act on all screening and diagnostic results within established timeframes

•             Maintain accurate, confidential employee health records in compliance with OSHA, CDC, and state regulations.

•             Coordinate work restrictions, return-to-work clearances, and accommodations in partnership with HR.

•             Manage bloodborne pathogen exposure follow-up and post-exposure protocols.

•             Track and report employee immunization and screening compliance rates to leadership.

Infection Prevention

•             Develop, implement, and maintain infection prevention and control policies consistent with CDC, CMS, and state health department requirements.

•             Conduct surveillance for healthcare-associated infections; analyze trends and lead corrective action when thresholds are exceeded.

•             Serve as the hospital's liaison to local and state public health authorities for reportable disease conditions and outbreak response.

•             Lead and document regular infection prevention huddles and committee meetings.

•             Provide infection control education and competency validation to clinical and non-clinical staff.

•             Participate in environment-of-care rounding and survey readiness activities related to infection control.

Nurse Education

•             Coordinate new hire nursing orientation, onboarding, and preceptor assignments.

•             Develop and deliver ongoing competency validation, skills fairs, and continuing education programming for nursing staff.

•             Maintain compliance tracking for mandatory nursing education, certifications, and license renewals.

•             Support implementation of new clinical protocols, equipment, and EHR workflows through targeted staff education.

•             Partner with unit managers to identify skill or knowledge gaps and design corrective education plans.

Working Conditions

•             Primarily hospital-based with regular movement throughout all clinical departments, including direct patient care areas.

•             May require occasional evening, weekend, or on-call availability during outbreak response or urgent employee health situations.

•             Potential exposure to communicable diseases and bloodborne pathogens; adherence to standard precautions required.

PRIMARY FUNCTION  

The Clinic Clinical Manager provides clinical leadership and operational oversight for clinic nursing and clinical support staff to ensure safe, efficient, and high-quality patient care. This position coordinates daily clinic workflows, supports compliance with clinic policies and procedures, collaborates with providers and hospital departments, and promotes consistent standards of care across all clinic locations. Under the direction of the Clinic Director and in collaboration with licensed practitioners, the Clinic Clinical Manager supports patient care delivery, staff development, scheduling, clinical process improvement, and resolution of patient care and personnel concerns. This is a full time, 40 hr/wk position.

QUALIFICATIONS

Minimum:

•             Registered Nurse (RN), Licensed Practical Nurse (LPN)  

Preferred:

•             Previous management experience preferred.

•             Certification in management programs such as Medical Group Management Association.  

Roles and Responsibilities:

•             Functions as clinical coordinator utilizing nursing processes to develop and maintain standards of care for all clinics.

•             Works with all hospital departments in assessing, advising and correcting clinical related issues.

•             Creates clinical policies and procedures and ensures compliance for personnel.

•             Works with front office staff to establish standards of care relating to patient scheduling and workflow.

•             Supervises, orients, and mentor’s clinic nursing staff to include clinical assistants, MA’s, LPN’s and RNs in delivery of nursing care services.

•             Responsible for handling patient care and personnel issues that occur during clinic hours and reporting needed concerns to the Clinic Director and or Human Resources.

•             Responsible for appropriate staffing levels for all clinics and approving any changes in scheduled staff along with monitoring / submitting timecards and finding replacement staff.

•             Authorizes nursing staff time off requests and approves timecards in the time and attendance system.

•             Responsible for assisting with HR functions including hiring, terminations, and disciplinary actions.

•             Skilled in the use of the organizations EHR to work as a medical assistant and to work with the Health Information Technologists to maximize the benefits to Melham Clinic processes. 

•             Participates in survey readiness activities, maintains regulatory procedural compliance, and implements best practices by adherence to policy and procedure.

•             Attend required meetings and participates in organizational programs.

The above list should not be considered all-inclusive as other duties will be assigned as needed.

Key Performance Indicators

•             Fosters a professional and positive working environment.

•             Calm and consistent approach when providing great customer service

•             Managing at a high level, confidential mission critical work

•             Great written and verbal skills

•             Always looking for ways to provide process improvement

The Facility Maintenance Tech is responsible for facility equipment, grounds, and buildings in accordance with regulations, policies and procedures through preventative maintenance, repairs, and upkeep on a regular basis. This is a full time, 40 hr/wk position with weeknight, weekend & holiday On Call rotation.

Education and/or Experience:

• High School diploma or GED

• Electrical, mechanical, plumbing, troubleshooting, and preventative maintenance required.

• Awareness of safe working procedures and Health and safety requirements preferred.

• Previous experience of working in Healthcare premises preferred.

Certificates, Licensure, Registrations

• Valid NE driver’s license

SIGNIFICANT DUTIES               

•             Performs preventative maintenance on assigned equipment.

•             Keeps the building, grounds, and all equipment in good repair. 

•             Communicates problems, conditions, and issues to the Maintenance Supervisor.

•             Provides excellent service to patients, residents, guests, and co-workers. 

•             Must respect the privacy of patients and must always maintain confidentiality.

•             Occasionally required to meet with contractors at various locations to disseminate site-specific knowledge to enable work to be carried out.  

•             Monitors contractors as needed

•             Carry and respond to communication devices (mobile phone/Handheld device). 

•             Comply with Health and Safety regulations and safe systems of work, reporting any defects immediately to the Maintenance Supervisor and Plant Services Manager. 

Knowledge Training and Experience 

•             Understand Electrical/Mechanical engineering and basic building principles to carry out a range of basic maintenance tasks. 

•             Commitment to Customer Care. 

•             Accept and utilize training and development offered to carry out duties and responsibilities to achieve a high-quality service. 

•             Assess and diagnose faults on complex building services plant and equipment 

•             Maintain the facilities grounds and landscaping needs

Planning and Organizational Skills 

•             Organize daily work patterns around identified demands and priorities.         

•             Use of appropriate tools and equipment including those specialized to specific duties or trades. 

•             Perform meter readings, monitor deliveries of oil and other consumable commodities in accordance with local procedures. 

•             Drive facilities vehicles regularly. 

Responsibility for Patient/Client Care 

•             Daily work on units and other healthcare properties to provide a well-maintained, clean, physically safe, accessible and welcoming environment for patients, staff and visitors. 

Responsibility for Policy/Service Development 

•             To contribute to and work within a safe working environment 

•             Adhere to all policies and procedures

•             Provide input as opportunities arise.

•             Assist in carrying out maintenance routines both general and planned on a wide range of electrical and mechanical plant equipment which includes: 

•             Lights and lighting systems including cleaning and lamp replacement 

•             Kitchen and catering equipment 

•             Domestic appliances 

•             Portable appliances including tests and basic repairs 

•             Monitoring of gas fired boilers 

•             HVAC systems 

•             Domestic hot and cold-water services 

•             Firefighting equipment 

•             Fire alarm testing 

•             Generator testing 

•             Legionella checks 

•             Eye wash station inspections

•             Underground Sprinkler Systems

•             Floor maintenance and repair

Must be able to demonstrate key skills: 

•             Communication  

•             Working with others

•             Improving your own learning 

•             Problem Solving 

•             Assist higher skilled grades on new work and repairs. 

•             Carry out minor installation work when required. 

•             Work overtime when requested (i.e. snow removal, security breach, mass incident, etc.).

•             Participate in an off hours on-call schedule regularly.

•             Maintain workshops and other facilities operational spaces in a clean and tidy condition. 

•             Complete log sheets, report sheets, Electronic Inspections, and test certificates for legislative and statutory requirements as necessary

This position is responsible for the overall leadership, planning, and execution of the organization’s information technology operations. This role ensures the reliability, security, and efficiency of all IT systems that support clinical, financial, and administrative functions. The IT Manager leads the Information Systems teams, partners with organizational leadership and external vendors to align technology with strategic goals, and proactively identifies opportunities to improve infrastructure, cybersecurity, and system performance. This position plays a critical role in maintaining regulatory compliance, protecting organizational data, and supporting high-quality patient care through effective technology solutions. This is a full time, 40 hr/wk position with rotating On Call for weekdays, weekends & holidays.

• A $5,000 sign on bonus is eligible with the full time position.

QUALIFICATIONS

Minimum:

•             Bachelor’s degree in computer science, Information Technology, or related field

•             Seven (7) years of broad-based IT experience, 4 years in healthcare

•             Professional Certifications in Information Technology and Security. 

•             Commitment to ongoing professional development, including obtaining certifications aligned with organizational IT priorities (cybersecurity, infrastructure, healthcare compliance).

Preferred:

•             Master’s degree in computer science, information technology, or related field

•             Five (5) years of Hospital IT leadership, including project management

•             Certifications in networking, systems administration, cyber security are preferred.

Roles and Responsibilities:

Electronic Health Record (EHR) System Administration

•             Oversee implementation, maintenance, and optimization of the EHR platform. Serve as the primary liaison between clinical staff and the EHR vendor, managing upgrades, downtime windows, and workflow configuration.

Clinical Systems Integration & Interfaces

•             Manage HL7/FHIR interfaces connecting the EHR to ancillary systems — lab (LIS), radiology (RIS/PACS), pharmacy etc. and point-of-care devices. Coordinate with interface engines to ensure data flows accurately across platforms.

Cybersecurity & Threat Management

•             Lead the hospital's security posture: endpoint protection, firewall management, vulnerability scanning, staff phishing training, and incident response. Coordinate with the HHS 405(d) Health Industry Cybersecurity Practices framework given the elevated targeting of rural facilities.

Help Desk & End-User Support

•             Oversee or directly staff a help desk serving clinical and administrative users. Prioritize clinical-facing issues (nurse workstations, clinical decision support tools to avoid care disruptions.

Vendor & Contract Management

•             Manage relationships with software vendors, hardware suppliers, telecom carriers, and managed service providers. Negotiate SLAs and renewals.

Systems & Network Maintenance

•             Maintain the health and performance of all server infrastructure, network equipment, and supporting systems through proactive monitoring, scheduled maintenance windows, and capacity planning. This includes managing Nutanix HCI nodes, switches, routers, firewalls, UPS units, and data center environmental controls. Perform routine tasks such as firmware and patch updates, hardware diagnostics, log reviews, and performance tuning. Maintain thorough documentation of network topology, IP addressing schemes, system configurations, and change logs.

Disaster Recovery & Business Continuity

•             Develop and maintain DR/BC plans covering system downtime procedures, off-site backups, and failover for critical clinical systems. Conduct regular tabletop exercises with department leads and document manual downtime workflows for clinical staff.

Organizational IT Leadership & Representation

•             Serve as the primary face of the IT department across the organization — building trust and credibility with clinical staff, administration, department heads, and the board. Translate complex technical concepts into plain language for non-technical audiences, and actively participate in leadership meetings, committees, and strategic planning sessions. Foster a service-oriented culture within IT, ensuring staff and clinicians view the department as a responsive partner in care delivery rather than a barrier. In a rural hospital, where the IT team is small and highly visible, the IT Manager's approachability and communication style directly shapes how technology initiatives are received and adopted organization wide. Represent the hospital externally with vendors, regional health networks, state agencies, and peer institutions, and advocate for technology resources and funding that support the hospital's mission.

The above list should not be considered all-inclusive as other duties will be assigned as needed.

Key Performance Indicators

•             Calm and consistent approach when providing great customer service

•             Managing at a high level, confidential mission critical work

•             Great written and verbal skills

•             Always looking for ways to provide process improvement

The Pharmacy Manager will be an expert in pharmacy operations and medication-use systems. This Manager will take on advanced responsibilities in the areas of pharmacy operations, technology and automation, medication safety, quality improvement, compliance, technician oversight and training, medication compounding and preparation, and education related to all aspects of pharmacy operations.  The Pharmacy Manager will report to the Administrative Services Director to provide safe, timely, efficient, equitable, effective and patient-centered medication use. This is a full-time, 40 hr/wk position with typically Monday-Friday normal business hours, occasional response to after-hours calls.

•   A $20,000 sign-on bonus is eligible with the full time position.

QUALIFICATIONS

Education and/or Experience

•             Pharmacy Degree (PharmD or B.S.)

•             One to three years previous experience in the specialized function of hospital pharmacy services is desirable including inpatient, emergency services, and infusion clinic services

•             Prior management experience highly preferred

•             Must demonstrate strong attention to details and work with minimal supervision

•             Ability to research evidence-based medicine and regulatory requirements; excellent organization skills with high attention to detail

•             Excellent verbal and written communication skills

Certificates, Licensure, Registrations

•             Active Nebraska state pharmacist license (or ability to obtain prior to employment)

•             BLS certified within 6 months of hire

•             Nebraska Pharmacist-In-Charge, upon hire

•             Power of Attorney for purchasing of controlled substances, upon hire

SIGNIFICANT DUTIES 

•             Responsible for operational systems to assure appropriate prescribing, distribution, administration, and monitoring outcomes of drug therapy processes.

•             Maintain Pharmacist-In-Charge responsibilities in accordance to Nebraska Statutes 71-470 and 38-2867.02, including: 

o             developing , establishing, and implementing policies and procedure for the practice of pharmacy and medication use in the hospital;  

o             developing  and implementing policies and procedures to ensure that a pharmacist reviews all medical orders prior to first dose to a patient in the hospital; 

o             establishing policies and procedures for validation of medication by two or more certified pharmacy technicians before such validation process is implemented in the hospital; 

o             responsible for the supervision, performance and competence of the pharmacy technicians;

•             Ensure compliance with all applicable federal, state, and local laws, rules, and regulations.

•             Ensure compliance with health system policies and procedures that apply to pharmacy services.

•             Develop and enforce policies and procedures that promote cost-effective, appropriate, and safe medication use in accordance with state, federal, and CMS regulations.

•             Manage technology and automation to allow for optimum resources.  Evaluate new automation that may bring additional value to the organization.

•             Assure that existing automation is being utilized at the highest level of efficiency, and develop efficiency standards for each.

•             Collaborate with facility staff to develop, implement, and operate automated programs and software for pharmacy information management systems.

•             Conduct post-implementation assessment of pharmacy automation enhancements and new pharmacy programs to ensure desired changes are achieved. Change systems to achieve desired results.

•             Assure compliance within sterile compounding (USP 797) and non-sterile compounding practices (USP 795).

•             Develop policies and procedures and assure compliance with current standards for the safe handling of hazardous drugs (USP 800).

•             Review reports for medication errors, adverse drug events, ineffective service, or other problem identification.  Analyze and implement quality improvement measures for improving organizational performance.

•             Analyze records to indicate prescribing trends and excessive or inappropriate usage of medications.

•             Attend Medical Staff Meetings to advise and inform the medical staff of medication applications and characteristics. 

•             Serve and/or lead on hospital committees, as directed.

•             Actively participate in professional pharmacy organizations (i.e., ASHP, NPA, APhA, ISMP)

•             Provide for the educational needs of health care professionals, patients, and their families.

•             Develop and maintains a medical staff-approved formulary through Pharmacy & Therapeutics.

•             Supervise medication storage and preparation areas throughout the facility.

•             Assure adequate control and documentation of controlled substances.

•             Ensure maintenance of an adequate medication supply. Ensure the integrity of the medication supply.

•             Establish specifications for the procurement of medications, chemicals, and biologicals.

•             Oversee the development and operation of the systems for distribution of all medications within the hospital. Ensure strict control and accountability for medications dispensed to patients or distributed to floor stock.

•             Provide for the educational needs and competencies of the pharmacy staff.

•             Ensure applicable continuing education and licensure records are maintained in department files.

•             Supervise all pharmacy personnel and recruit, interview, promote, discipline, and terminate pharmacy staff as necessary.

•             Observe pharmacy personnel at work and develop quality assurance techniques to ensure safe, legal, and ethical practices within the department.  

•             Develop job descriptions and performance standards. Evaluate and counsel staff on their performance.

•             Approve department work schedules, approve payroll hours, and monitor workload statistics. Maintain an appropriate staffing level.

•             Prepare a pharmacy budget annually.

•             Review monthly financial statistics and plan expenditures within budget guidelines.

•             Monitor and justify all expenses exceeding budgeted targets.

•             Ensure preparation and submission of patient charges and financial reports to administration in accordance with policy.

•             Administer reports, documents, statistical surveys, and other required data.

GENERAL REQUIREMENT

•             Effective verbal and written communication skills.

•             Ability to implement comprehensive pharmacy services within the framework of the overall services offered by the hospital.

•             Management skills appropriate for successful and efficient management of department staff.

•             Capability of personal interaction with utmost courtesy and tact, while projecting a demeanor of warmth and welcome, to any and all individuals who present to the JMMMC pharmacy department.

•             Capacity to educate and communicate facts to a variety of individuals.

•             Achieve job performance standards as stated in the hospital’s performance appraisal program.

Provide comprehensive patient care in a clinical laboratory setting, ensuring safety and minimizing medical errors. Perform diagnostic testing across all laboratory disciplines—including blood bank, chemistry, hematology, microbiology, serology/immunology, urinalysis, and phlebotomy. Verify questionable results and repeat procedures when necessary. Support routine phlebotomy services as needed. This is a full time, 30 hr/wk position with rotating On Call on weeknights, weekends & holidays. 

Education and/or Experience

•             Bachelor of Science Degree in Medical Laboratory Science, Biology, or Chemistry.

•             Associate degree in Medical Technology, required

•             Active registration with the American Society for Clinical Pathology (ASCP) or American Laboratory Technologists (AMT)

Certificates, Licensure, Registrations

•             Board Certified in Medical Laboratory Science (ASCP, AMT) 

•             Current Basic Life Support (BLS) certification or must be obtained within 30 days of hire.

Significant Duties

•             Perform chemical and cellular analysis of body fluids (e.g., blood, urine, spinal fluid)

•             Conduct high-complexity testing and validate accuracy of results 

•             Operate, calibrate, and maintain laboratory instruments

•             Prepare reagents and perform routine equipment maintenance

•             Collect and label specimens accurately, ensuring proper patient identification

•             Communicate critical lab values to clinical staff with proper documentation

•             Respond promptly to STAT, timed, and call-result specimens

•             Monitor quality assurance programs and document troubleshooting using SBAR or QA formats

•             Provide technical interpretation of test results to physicians, patients, and families

•             Submit abnormal findings to the Pathologist for review

•             Maintain adequate inventory of testing supplies

•             Present records and procedures to accrediting inspectors as needed

•             Collaborate with other departments to support patient care and performance improvement

•             Assist in compiling data for reports and audits

•             Review and resolve outstanding reports and specimens during each shift

•             Support and oversee managerial duties when assigned

•             Foster teamwork and offer assistance to colleagues

•             Stay current with hospital policies and regulatory standards

•             Demonstrate the ability to be flexible, organized and function in stressful situations.

•             Demonstrate the value of team concepts on a consistent basis.

•             Offer supportive assistance to co-workers.

•             Manage and operate laboratory equipment safely and correctly.

•             Consult with other departments, as appropriate, to collaborate in patient care and performance improvement activities.

•             Assist in compiling data for all necessary reports promptly.

•             Review pending and outstanding reports on every shift and follow up to resolve outstanding specimens.

•             Oversee and assist with manager duties when assigned. 

General Requirements

•             Uphold the organization’s mission, vision, and values

•             Maintain a professional appearance and adhere to dress code, including identification badge while on duty

•             Protect patient confidentiality and sensitive information at all times

•             Comply with all regulatory and ethical standards

•             Participate in ongoing education, staff meetings, and quality improvement initiatives

•             Demonstrate strong communication, organizational, and interpersonal skills

•             Handle challenging interactions with professionalism and empathy

•             Adapt to changing situations and work effectively under pressure

•             Prioritize tasks and manage multiple responsibilities efficiently

•             Complete assignments accurately and on schedule

•             Availability for evening/weekend shifts as needed; on-call duties

•             Follow PPE protocols and safety guidelines

•             Comfortable working in environments with exposure to blood, body fluids, and chemicals

The Nursing House/Shift Supervisor is responsible for promoting and maintaining quality patient care through the effective management and delivery of patient care during his/her assigned 12-hour shift. A significant portion of time is spent coordinating resources, problem solving, supporting and/or providing direct care delivery, evaluating effectiveness of care, and promoting effective communication. Contributes to implementation and enforcement of Nursing, Medical Staff and Administrative policies and procedures, performance plans, and takes appropriate action. The House/Shift supervisor assumes the lead RN role in the absence of the CNO and Nursing Management staff. This position will also rotate into the ED RN role. 

Shifts Avialable: 

- Full time, 36 hours per week 

-  Night shift positions are from 6:30pm – 7:00am with every 3rd weekend rotation (Fri/Sat/Sun) & holiday rotation.

- A Sign-On bonus of $7,000 is offered with this  full time position.

QUALIFICATIONS

• Graduate of School of Nursing; BSN or BA preferred.

• Minimum of 6 months of clinical experience, work related experience and/or previous House/Shift Supervisor/management role in a hospital setting. and ability to perform duties in acute, skilled, and emergency areas of facility.

• Current NE State License or Compact license as a Registered Nurse required. 

• Professional knowledge of nursing practice, and regulation to support patient care delivery.

• Current BLS, ACLS, PALS or ability to obtain within 2 months of hire. 

• Current TNCC or ability to obtain within 1 year of hire.

• IS 100, 200, 700 and 800 or ability to obtain within 12 months of hire.

GENERAL REQUIREMNENTS

• Demonstrate commitment to the organizational mission, vision, and core values.

• Maintain clinical competency as required for Acute and Emergency Room Care including but not limited to age-specific competencies relative growth and developmental needs of all ages of patients.

• Knowledge of federal and state regulations related to nursing applications and relative practice area.

• Communicate effectively both verbally and in writing.

• Supervise, instruct, and evaluate the work of all acute and ED patient care staff members.

• Maintain confidentiality of patient information

• Exercise professional judgment, courtesy, and professionalism in daily interactions with others

• Demonstrates relationships management and influencing behaviors. 

o Conflict resolution skills

o Critical conversation skills

o Mediation skills

• Demonstrates knowledge of Melham Medical Center Compliance Program, Code of Conduct, and Confidentiality standards.  Monitors staff adherence and knowledge of standards.

• Serves as the lead RN for emergency management plan response.  Opens incident Command as appropriate.  Monitors staff knowledge and response to plan activations.

• Demonstrates knowledge of risk management, quality review reports, Sentinel Events, near misses and non-punitive work environment concepts.

o Incident reporting SQSS

o Compliance and safety reporting

o Abuse/neglect reporting

o Patient rights

o Staff rights

o Appropriately completes and/or supports reporting of events and forms as needed.

• Completes yearly self and staff evaluations/reviews and development plan.

• Attends meetings as assigned.

• Attends 75% of monthly staff meetings and keeps updated on information.

• Completes annual on-going competency plan.

• Attends mandatory in-services and/or programs.

• Maintains certifications.

SIGNIFICANT DUTIES

• Initiates assessment/reassessment based on the patient’s needs per nursing standards and organization policy and procedures.

• Synthesizes pertinent patient data to develop nursing care plans and identify nursing priorities for care and desired outcomes.

• Collaborates with the interdisciplinary team to coordinate and provide patient care.

• Demonstrates knowledge and skill in nursing theory and ability to learn and develop competence in patient care across the lifespan.

• Demonstrates the ability to learn new practices and has the ability to practice in multiple settings within the rural hospital – medical/surgical, pediatric, neonatal, emergency and skill care. 

• Integrates appropriate standards of care into the patient’s plan of care based on the diagnosis and age-specific needs.

• Executes, directs, supervises and/or assigns other staff members to perform therapeutic and or supportive interventions.

• Evaluate the patient’s response to and effectiveness of interventions.

• Evaluates the patient’s progress toward established outcome.

• Incorporates cultural considerations into the plan/delivery of care. 

• Includes family and/or significant others in the care of the patient as appropriate.

• Documents patient care and related information according to Melham procedures for documentation

• Facilitates a patient’s transition to the next level of care including admission, discharge, and transfers.

• Receives calls for patient placement, screens for appropriate admission criteria and notifies the department of patient placement.

• Utilizes knowledge of UR criteria to assist with the appropriate admission status and placement of a patient.

• Demonstrates knowledge of EMTALA regulation and paperwork.

• Assumes responsibility in a shared or delegated assignment and supports team member’s practice through timely communication.

• Services as a role model to colleagues, students, and other care providers

• Actively participates in continued learning opportunities and continued self-development pertinent to all areas of Acute/ED care nursing.

• Proficient in the management of provider orders in CPOE and in the order management system

• Maintains effective communication channels with the entire healthcare team.

• Assist administration with personnel management and other administrative duties as assigned.

• Acts as a resource to the healthcare team

• Performs as senior leader in event CNO/nursing management are absent. 

• Performs other related duties as assigned.

• Oversees and/or assigns additional work duties during low volume periods when core staffing is in place.

The ED RN renders collaborative nursing care via the Method of Practice, Patient Coordinated Care, to a caseload of patients for an assigned shift in accordance to the healthcare practitioner’s treatment plan, nursing standards of care/practice and professional code of ethics.  The RN is committed to promoting the health potential of the patient (body-mind-spirit) through the implementation of the nursing process.  Demonstrates ability to delegate appropriately and direct staff in the coordination and delivery of care; assumes responsibility for the appropriate utilization of care resources; demonstrates positive interpersonal relationships with others in problem resolution, is sensitive to the needs of patients, families, and fellow workers. Reports directly to the Emergency Services Manager. Delegates and directs assigned shift caseload team which may be comprised of RN’s and NSS’s. Must be a Graduate of School of Nursing and have a current Nebraska State RN license. 2-5 years ED or Critical Care experience preferred. 

Currently available:

• Full time, 36 hours per week.

•  Part time, 24 hours per week.

•  Night shift positions are from 6:30pm – 7:00am with every 3rd weekend rotation (Fri/Sat/Sun) & holiday rotation.

• A $7,000 sign-on bonus is eligible with full time positions.

QUALIFICATIONS

• Graduate of School of Nursing

• Current Nebraska State License as a Registered Nurse required.

• On the job experience necessary as determined by department orientation requirements in order to acquire and effectively utilize knowledge of department specific structure and/or process standards.

• Interpersonal skills necessary in order to instruct/comfort patients/families; to maintain effective communication/contact with healthcare team members.

• Analytical Skills necessary in order to prioritize workload and prepare nursing care plans, implement effective nursing care and develop solutions to problems concerning patient’s body, mind and spirit.

• Basic computer knowledge, including Outlook and Microsoft Office

• Basic Life Support within 3 months of hire and maintained

• ACLS and PALS within 6 months of hire and maintained

• TNCC and NRP within one year of hire 

• Job functions must be performed on site with regular attendance.

• Understands that Nebraska is an at will state and that either the employer or employee may terminate the employment relationship at any time with or without cause.

ORGANIZATIONAL SUPPORT

• Adheres to Melham Medical Center administrative support policies and procedures including:

• Demonstrates knowledge of and ability to follow attendance, punctuality, time documentation and scheduling practices

• Complies with parking practices and follows up with staff out of compliance.

• Demonstrates knowledge of department locations and functions.

• Attire is appropriate to job responsibilities. Wears appropriate identification. 

• Demonstrates knowledge of Melham Medical Center Compliance Program, Code of Conduct, and Confidentiality standards. 

• Demonstrates knowledge of Melham Medical Center Emergency Management Plan

WORK ROLE COMPETENCIES - CLINICAL PRACTICE

• Performs direct patient care in accordance to performance standards listed on Skills Checklist according to the defined patient population of neonates, pediatrics, adults and geriatrics for the Emergency department and/or trauma patient.

o Demonstrates ability to perform admission, discharge, transfer procedures.

o Utilizes modes of communication to provide continuity of care and to deliver safe care.

o Cares for the patient undergoing an invasive and/or operative procedure.

o Assesses and promotes optimum neurological functioning including pain management.

o Assesses and promotes optimum respiratory and cardiovascular function.

o Demonstrates ability to care for the patient with diabetes and other endocrine challenges.

o Assesses and promotes optimal gastrointestinal functions.

o Assesses fluid electrolyte balance, including blood administration.

o Assesses and promotes optimal musculoskeletal function.

o Assesses and maintains optimal skin integrity, including preventative measures.

o Assesses and supports genitourinary function.

o Demonstrates ability to administer medications and has knowledge of actions, route of administration, dosage, and side effects.

o Demonstrates appropriate patient safety practices.

o Provides nursing interventions to assist the patient during the end-of-life process.

o Demonstrates knowledge of Infection Control Patient Care Practices for the patient population hired

o Demonstrates knowledge of Infection Control Environmental practices for the patient population hired

o Demonstrates knowledge of and ability to perform during trauma care for the following patient presentations:

o Assures each patient receives health care excellence aims of:  safe, effective, patient centered, timely, efficient, and equitable care.

• For shift worked, coordinates shift caseload of patients

• Delegates and directs care delivery appropriately

• Coordinates care effectively

• Accurately completes ED log with patient information and disposition

• Utilizes critical thinking skills in the application of the nursing process in the Emergency Department:

• Records & Completes patient triage to identify patient medical treatment needs and intervention level. Supports the initiation of the patient log via tracking board including update of medical diagnosis at disposition. 

• Performs focused nursing assessment for presenting condition

• Based on focused nursing assessment initiates ED standing orders. 

• Collaborates with Provider in the treatment plan and patient response to care delivery

• Keeps patient and/or significant other informed of care delivery plan

• Continues to reassess and revise the established care plan in relation to the patient’s response to, and the outcomes of the care provided as condition warrants

• Supports and develops Provider discharge plan of care. 

• Implements patient/family education based on ED diagnosis, and individualized needs, including actions to take if condition worsens

• If condition does not meet Melham admission criteria, supports patient stabilization and transfer to a higher level of care

ADMINSTRAIVE PRACTICE

• Oversees and provides feedback on work performance of the shift staff and other members of the health care team and provides feedback to the House Supervisor, and/or Manager. 

• Functions as RN caseload coordinator on assigned patient load.

• Serves as a preceptor to students and staff as requested.

• Follows chain of command to resolve issues or challenges.