CAREERS

The Facilities Maintenance Tech is responsible for maintaining 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 hour per week position with On Call rotation.

QUALIFICATIONS

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 of any defects immediately to the Maintenance Supervisor and Plant Operations 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

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

EVS 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 weekend & holiday rotation.  

QUALIFICATIONS

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. 

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 full time, 36 hr/week night position. Hours are 6:30pm – 7:00am.  Every 3rd weekend (Fri, Sat, Sun) & holiday rotation required. Sign-on bonus of $7,000 is eligible with this position.

SUPERVISION

• Reports directly to the Acute Care Manager

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

• Delegates and directs assigned shift caseload team which may be comprised of LPN’s and CNA’s. 

QUALIFICATIONS

• Graduate of School of Nursing.

• Clinical and/or work nursing experience in a hospital with ability to perform duties in the acute and skilled nursing setting is preferred.

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

• BLS within 6 months of hire and maintained.

• ACLS within 6 months of hire and maintained.

• PALS within 6 months of hire and maintained.

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

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 nursing applications and relative practice area.

• Communicate effectively both verbally and in writing.

• Delegate, oversee, and evaluate the work of all acute LPN and CNA 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.

• 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, and skill care. 

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

• Executes, delegates 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.

• 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 Care nursing.

• Maintains effective communication channels with the entire healthcare team.

• Acts as a resource to the healthcare team

• Performs other related duties as assigned.

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

Responsible for food preparation and delivery to patients, staff and visitors. 

Available shifts:  

• Full time, 40 hour per week position with rotating weekends & holidays. 

QUALIFICATIONS

Education and/or Experience

• Two years’ experience as a cook in healthcare setting preferred

• Good organizational skills

• High School diploma

• Must be at least 19 years old to operate kitchen equipment  

SIGNIFICANT DUTIES 

• Check current census before each meal preparation

• Check for new diet orders

• Check diet cards and cross reference with diet order

• Communicate with nurses to assure patients dietary needs are met

• Conduct patient rounds at least once daily to review diet requests, preference and concerns

• Document meal and fluid consumption when picking up patient trays

• Prepare patient meals following prescribed diet

• Prepare late trays as needed for patients

• Prepare entrees, side dishes, salads, drinks and desserts for upcoming meal

• Prepare special order menu items as needed

• Adjust recipes based on need.

• Prepare coffee for cafeteria

• Prepares meals for special events, e.g., board and staff meetings, employee events 

• Prepare salad bar for cafeteria and refresh lettuce and condiments as needed

• Prepare food requiring advance preparation per protocol and dietary regulations

• Taste test all entrée and side dishes

• Cleans and disinfects all work areas per protocol includes pots and pans, range grill and steam table.

• Cleans and disinfects  pot and pans per protocol

• Test Chlorine sanitizing solution using chlorine test strip using in pot & pan sink

• Empties trash cans as needed 

• Prepare and deliver patient snacks

• Functions as food service manager in his/her absence

• Prepare entrée, vegetables, side dishes and desserts for cafeteria

• Utilizes batch cooking  to keep vegetable fresh on cafeteria serving line

• Cleans cafeteria dining room after each break period, lunch and supper

• Delivers late trays as needed

• Stocks nourishment center in acute refrigerator and cupboard as needed 

• Inspects and documents all patient refrigerator and freezer temperature on a daily basis

• Serve employee in cafeteria line at lunch and supper

• Perform all other duties assigned by Food Service Supervisor.

GENERAL REQUIREMENTS

• Attends staff meetings and training session on a regular basis

• Provides input at meetings to improve dietary services for patients, visitors and staff.

• Maintains compliance with annual education requirements

• Adheres to all safety requirements and promptly reports all safety concerns to manager, maintenance or safety officer

• Maintains a positive attitude at all times and supports JMMMC initiatives both internal and in the community.

• Participates in at least one JMMMC community driven activity on an annual basis

• Exhibits good customer relations at all times

• Exhibits professional conduct when dealing with patients, family, medical staff, and hospital staff at all times

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: 

- 36 hrs/week & every 3rd weekend (Fri, Sat, Sun) and holiday rotation. Hours for this position are 6:30pm – 7:00am. 

- 24-36 hrs/week & every 3rd weekend (Fri, Sat, Sun), and holiday rotation. Hours are 6:30 pm- 7:00 am

- 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.

This position manages the activities in the Surgical Department to include planning, directing, organizing, coordinating, and evaluating the services provided by the surgery department. This position is a working manager position, and the person will need to be able to function as a staff OR RN. Responsible for monitoring and reporting on the Quality Assurance Program for the surgery department. Will need to work closely with Specialty Clinic and CNMC for coordinating procedures performed by the Specialists. Will need to work closely with all hospital departments to provide continuance of care for patients. This is a supervisory role and will be responsible for staff evaluations and supervision. Will be a part of the CNO management team. This is a full time 40 hour per week position.  No weekends, holidays or on call. A $7,000 sign on bonus is eligible with this position.  

QUALIFICATIONS

Education and/or Experience

•              Graduation from an accredited nursing program

•              2 years as an OR Staff Nurse

•              Computer skills

•              Telephone skills

Certificates, Licensure, Registrations

•              Current Nebraska or Compact State RN license

•              Current ACLS and BLS certification

SIGNIFICANT DUTIES 

•              Creates, directs, and implements the policies and procedures for surgery department. Assists in the development of the electronic system, involving necessary stakeholders and directs review and revision as needed.

•              Responsible for the proper staffing of the surgery department.

•              Ensures a high level of quality care and services for patients by coordinating and communicating operational procedures to physicians, clinical staff, and various departments. 

•              Monitors, evaluates, and modifies programs while adhering to organizational guidelines and standards.

•              Consistently supports the mission, vision, values, and standards of behavior of the organization in daily leadership duties. Acts as a role model for patient-centered care. 

•              Demonstrates commitment to continuous improvement in the areas of quality, people, finance, community, and service. 

•              Responsible for the selection and evaluation of surgical services staff.

•              Collaborates with hospital administration, nursing staff, medical providers, subject matter experts, and community partners to gain knowledge of healthcare issues and community needs.

•              Disseminates information among stakeholders, reports to CNO, Medical Staff, management, Board of Directors, and community.

•              Seeks innovative opportunities to positively enhance Jennie M. Melham Memorial Medical Center.

•              Will be a working manager and maintain ability to function as an OR nurse (see OR Staff nurse job description).

•              Will work in conjunction with the Specialty Clinic to provide clinic services for Podiatry.

GENERAL REQUIREMENTS

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

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

•              Demonstration of leadership skills and ability to make sound decisions for departmental delivery of care.

•              Establishes goals and strategic plan for departments of responsibility and participates in strategic planning activities of department and overall facility.

•              Maintains current knowledge of department and hospital operations, local and industry trends and practices, market forces and outside regulatory requirements.

•              Identifies opportunities and challenges to the departments’ services and applies this knowledge to develop new or enhance existing policies, procedures, systems, and services.

•              Provides leadership in planning, directing, organizing, and evaluating clinical practice throughout the department. 

•              Assures appropriate patient care and continuous quality improvement is provided efficiently. 

•              Assumes administrative responsibilities as required.

•              Participates in an ongoing, systematic QI program for surgery department.

•              Manages the performance review process to include developing job descriptions and standards as well as providing ongoing training, performance counseling and evaluation.

•              Manages the operating and capital resources of the department and participates in the budget process.

•              Demonstrates effective relationships with hospital staff, patients, public, outside agencies, and providers.

•              Communicates effectively verbally and in writing.

•              Maintain confidentiality of patient information.

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

•              Establishes and maintain effective working relationships with health care team members and diverse patient populations.

•              Practices in a fast-paced environment relevant to changing organizational, staffing, and patient needs. 

•              Any other job/tasks as assignment by CNO or Senior Leadership for the betterment of the facility

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, day shift position from 6:30am – 7:00pm with every 3rd weekend rotation (Fri/Sat/Sun) & holiday rotation.

• Full time, 36 hours per week, night shift position from 6:30pm – 7:00am with every 3rd weekend rotation (Fri/Sat/Sun) & holiday rotation.

•     24-36 hours per week. Night shift position 6:30 pm-7:00 am. Every 3rd weekend, Friday, Saturday, Sunday and holiday rotation. 

•    24-36 hours per week. Day shift position. 6:30 am-7:00 pm. Every 3rd weekend, Friday, Saturday, Sunday and 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.

Melham Medical Center has partnered with Hunter Ambrose International for the recruitment of this position. Please contact the firm directly at admin@hunterambrose.com or visit hunterambrose.com

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 Availble 

- A full time, 36 hrs/week & every 3rd weekend (Fri, Sat, Sun). Hours for this position are 6:30pm – 7:00am. 

-  A 24-36 hour per week on night shift position. 6:30 pm-7:00 am. Every 3rd weekend Friday, Saturday, Sunday and holiday rotation. 

- A Sign-On bonus of $7,000 is offered with the 36 hour 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 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 .

The following shifts are available:  

 Part time, 24 hours/week and every 3rd weekend (Friday, Saturday, Sunday)11:00 am-11:30 pm

Full-time, 36 hours/week and every 3rd weekend (Friday, Saturday, Sunday) 11:00 am-11:30pm. The full-time position is elligbile for a $7,000 hire on bonus.

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.

PRINCIPLE DUTIES   AND RESPONSIBILITIES

• ORGANIZATION TEAMWORK   

o To support the mission, and motto of Melham Medical Center: Mission:  Partnering with you to inspire healthy living through quality care. Vision: to be your preferred healthcare provider. Motto: Large enough to serve, small enough to care

 Able to verbalize the mission/vision and motto as the driving base for strategic planning, decision-making and delivery of patient care and support services.

o The core values of JMMMMC represent the beliefs of our organization, guiding our processes and decision making at all levels.  The mission and promise is accomplished through a commitment to our core values:

• Integrity: Do the right thing, even when no one is looking

• Respect :Value everyone, diminish no one

• Responsibility: Own our actions, own our results

• Demonstrates values based decision making in the performance of work duties

o Adheres to service delivery standards to ensure a high level of customer satisfaction. Recognizes opportunities for service improvement

 Demonstrates and achieves customer service standards for self

 Initiates and documents service recovery actions within scope of role

 Department customer satisfaction scores exceed customer expectation goals set

o Demonstrates knowledge of role responsibility and operating philosophy of JMMMMC

 Sells, promotes (manages up)  and presents Melham Medical Center programs, policies, and services in a favorable and positive manner.

 Nursing Code of Ethics behaviors are consistently followed

 Other duties as assigned

o Demonstrates relationship management and influencing behaviors

 Demonstrates. Commitment to Coworkers

 Works well as a collaborative member of the healthcare team

 Demonstrates Communication Expectations

 Manages up peers and healthcare team in interactions with patient/family

 Follows chain of command when addressing issues within the work environment

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 case-load 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:

• Completes patient triage to identify patient medical treatment needs and intervention level. Records patient triage

• supports the initiation of the  patient log via tracking board including update of medical diagnosis at disposition. 

• Performs focused  nursing assessment for presenting condition

• 1)may use the patient/family, EMS, chart, community agencies as a source of information  

• 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.