CAREERS

The Ultrasound Technologist performs a variety of imaging procedures including Ultrasound, CT, x-ray, DEXA, c-arm fluoroscopy and mammography when appropriate. Responsible for patient safety in accordance with organizational policies and established professional practice standards. Adhere to the Melham Medical Center Standards of Behavior. This is a full time, 32-40 hr/wk position.

QUALIFICATIONS

Education and/or Experience

•             Graduation from an accredited radiography program or

Graduation from an accredited ultrasonography program preferred.

•             Possess the ability to effectively communicate with patients, physicians and team members.

•             Experience preferred but not required.

Certificates, Licensure, Registrations

•             Current State of Nebraska Radiography license and/or ARRT Certification

•             ARDMS Certification preferred.

•             CPR Certification.

SIGNIFICANT DUTIES 

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

•             Operate imaging equipment in compliance with manufacturer’s specifications, selecting proper technical factors based on the patient’s body habitus, pathology, age and physical limitations.  Perform recommended quality control procedures.

•             Provide radiation protection for patients and fellow employees following the ALARA principal.

•             Demonstrate anatomy requested per examination adhering to department examination protocols and standards of care.  Demonstrate competency in clinical function related to assessment, treatment and care of patients.  Is knowledgeable in the use of intravenous contrast media and how to recognize adverse reactions. 

•             Prepare completed images for reading by interpreting physician.  Demonstrate competency in using all software applications necessary in completing daily work.  

•             Ability to clearly communicate preliminary findings of ultrasound studies to radiologist via appropriate worksheet.

•             Perform other departmental duties including, but not limited to; scheduling appointments, answering the phone, transporting patients, restocking and cleaning.

•             *Take department call as assigned.

•             Transfer patients in a safe manner.  Ensure patient privacy and maintain professionalism at all times.  Review patient history and interpret the information to evaluate the appropriateness of the exam ordered.  Perform venipuncture on patients receiving intravenous contrast media.  Ability to access the patient’s lab values indicating renal function and follow the facility’s policy on the safe administration of contrast media.

•             Perform all functions according to established policies, procedures and regulatory requirements, as well as professional standards.

•             Provide all customers with an excellent service experience.

•             Demonstrate commitment to continual learning, growth and development by participating in continuing education activities, learning new technology and changing protocols

GENERAL REQUIREMENTS

•             Be punctual.

•             Take constructive criticism well.

•             Ability to take initiative and work independently.

•             Work well as part of a team.

•             Ability to prioritize.

•             Practice proper infection control techniques.

•             Communicate well with coworkers, patients and providers.

•             Neat, clean, professional appearance.

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

•             Physically demanding, high stress environment.

•             Sit, stand, walk, bend and/or stoop frequently.

•             Reach floor-overhead frequently.

•             Lift, carry, push or pull up to 50 pounds frequently.

•             Performs all additional duties as assigned.

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 MLT will deliver high-quality patient care in a clinical laboratory setting, ensuring safety and minimizing errors. Perform diagnostic testing across all lab departments—including blood bank, chemistry, hematology, microbiology, serology/immunology, urinalysis, and phlebotomy. Verify questionable results and repeat procedures when necessary. Provide routine phlebotomy services as needed. This is a full time, 40 hr/wk position in the Medical Clinic Lab.

QUALIFICATIONS

Education and/or Experience

•             Associate’s Degree in Medical Technology, required

•             Must be registry eligible and obtain American Society for Clinical Pathology (ASCP) or American Medical Technologists (AMT) certification within 12 months of hire. 

Certificates, Licensure, Registrations

•             Board Certified in Medical Laboratory Technician (ASCP or AMT)

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

SIGNIFICANT DUTIES

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

•             Perform high-complexity testing and ensure 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

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

•             Notify appropriate clinical staff of critical values with proper documentation

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

•             Maintain adequate inventory of testing supplies

•             Submit abnormal results to the Laboratory Manager for review

•             Collaborate professionally with lab personnel, pathologists, and other healthcare staff

•             Stay current with hospital policies and regulatory standards

•             Review and resolve outstanding reports and specimens during each shift

•             Support team members and contribute to a positive work environment

•             Perform phlebotomy procedures when needed

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; minimal on-call duties

•             Follow PPE protocols and safety guidelines

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

The Phlebotomist will provide comprehensive patient care in a laboratory setting, ensuring safety and minimizing medical errors. Responsibilities include specimen collection, processing, and verification of questionable results through repeat procedures when necessary. This is a full time, 40 hr/wk position.

QUALIFICATIONS

Education & Experience

•             High school diploma required

•             Prior phlebotomy experience preferred

•             Phlebotomy course preferred for candidates without prior experience

Certifications & Training

•             Completion of Phlebotomy Certification within one year of hire

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

SIGNIFICANT DUTIES

•             Perform phlebotomy procedures with precision and minimal patient discomfort, including venipuncture and capillary collections (finger and heel sticks)

•             Collect throat swabs and nasopharyngeal specimens efficiently

•             Load and process samples using lab waived analyzers and centrifuges

•             Conduct waived laboratory tests with minimal supervision

•             Operate and maintain lab equipment safely and accurately

•             Follow proper patient identification protocols

•             Monitor and maintain adequate testing supplies

•             Collaborate professionally with lab staff, pathologists, and other healthcare personnel

•             Provide compassionate care to diverse patient populations (e.g., pediatric, geriatric, prenatal)

•             Enter patient and specimen data accurately using computer systems

•             Review and resolve outstanding reports and specimens during each shift

•             Document issues using SBAR format and complete corrective action forms as needed

•             Perform clerical and receptionist duties as assigned

•             Support additional tasks or specialty roles as directed by the supervisor

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; minimal on-call duties

•             Follow PPE protocols and safety guidelines

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

The Purchasing/Central Supply Assistant will be responsible for assisting with the purchasing/central supply inventory activities. This is a part time, 15 hr/week, Monday - Friday position. 

QUALIFICATIONS

Education and/or Experience

•             High School Diploma

•             2 year business degree preferred

•             Proficient in Microsoft Excel

Certificates, Licensure, Registrations

•             N/A

SIGNIFICANT DUTIES 

Purchasing/Central Supply

•             Assist with shipping and receiving of inventory goods.

•             Receive supplies and verify packing lists to invoices and purchase orders for the items not ordered directly by department.

•             Distribute supplies to the ordering department in a timely fashion.

•             Restock supply areas, with attention to maintaining the most efficient stock levels.

•             Rotate stock to ensure products are used prior to the expiration date.

•             Accurately and timely complete paperwork requirements of the department.

GENERAL REQUIREMENTS

•             Pledge sincere commitment to quality care to a quest for excellence and to maintaining confidentiality for the people we serve and to fellow employees.

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

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

•             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.

•             Does not breach patient confidentiality in any way by following HIPPA Privacy and Security Rules at all times.

•             Assist departments with product inquiries and product issues.

•             Receive all supplies and verify packing lists to invoices and purchase orders for the items not ordered directly by department.

•             Complete a physical inventory at fiscal yearend in coordination with the CFO.

•             Provide courteous service to the general public.

•             Possess good written and verbal communication skills.

•             Maintain the ability to stay calm in stressful situations.

•             Ability to perform detailed work.

•             Walk/stand for extended periods of time.

Responsible for completing and processing insurance claim forms for all government and commercial insurance patients. This is a Full time, 40 hr/week position. Monday – Friday. No weekends or Holidays.

Education and/or Experience

• High school diploma or equivalent required.

• Two year degree preferred.

• One year previous office experience.

• Proficient in Microsoft Excel

SIGNIFICANT DUTIES 

• Filing all insurance claim forms with the proper company.

• Follow-up on past due claims.

• Assist with other office duties

GENERAL REQUIREMENTS

• Pledge sincere commitment to quality care to a quest for excellence and to maintaining confidentiality for the people we serve and to fellow employees.

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

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

• 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.

• Does not breach patient confidentiality in any way by following HIPAA Privacy and Security Rules at all times.

• Process patient account to commercial insurance, Medicare, Medicaid, Tricare, Vets Administration, Every Woman Matters and any others.

• File insurance claims for Pro Fees on 1500 as required.

• File liens timely for auto accidents.

• Follow-up on insurance claims within 45 days of final bill date.

• Maintain neat and orderly billing files.

• Redistribute accounts for insurance reporting.

• Combine outpatient and inpatient accounts as needed.

• Complete Medicare enrollment forms for new doctors (855R)

• Monitor daily deposits for errors, 2nd insurance billing and denials.

• Assure timely follow-up on patient account balances, keeping accounts receivable to the lowest level possible.

• Process appropriate credit letters and collection stickers associated with the insurance follow-up.

• Assist with problem accounts that others can’t get processed for payment.

• Keep contact with provider representatives for insurance assistance needs.

• Follow-up on charge errors with departments.

• Enter daily deposits.

• Record bankruptcy notifications to accounts.

• Backup payment collections and posting mail.

• Backup data entry and answer entry questions.

• Shred confidential documents as required or requested.

• Provide courteous service to the general public.

• Possess good written and verbal communication skills.

• Maintain the ability to stay calm in stressful situations.

• Ability to perform detailed work.

• View computer monitor for extended periods of time.

• Assist and perform other clerical duties as assigned.

The 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 full time, 32-40 hours/week. Position is based at the Central Nebraska Medical Clinic.

QUALIFICATIONS

Education and/or Experience: LPN degree. 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 Licensed Practical Nurse 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 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.

The Chief Nursing Officer functions as a member of the Jennie Melham M. Memorial Medical Center (JMMMMC) Senior Leadership team to provide direction, strategy, business development, budgeting, trend variance analysis and information technology for the promotion of outcomes focused nursing care treatment and services.  The CNO has 24-hour accountability and responsibility for planning, organizing, directing, controlling and evaluating nursing care treatment and services. Ensures efficient, economic, and quality performance measures to support and provide outcome focused quality health care services. Recommends administrative policy changes and consults with and advises JMMMMC CEO for Nursing Services operations. Responsible for communication with Nursing and clinical staff, Department leaders, Senior Leadership, various departments, and community.

Oversees the daily operations of Nursing and Clinical Services (medical surgical, medical-surgical pediatrics, SWING, Emergency Services (ED, Trauma), Cardiopulmonary Services (RT, Sleep Lab, Pulmonary Rehab, Outpatient RT testing), Case Management (UR & Social work), Outpatient Ambulatory Nursing Services (Infusion Center, Specialty Clinics, Cardiac Rehab, Diabetic Education) and Surgical Services (Pre-assessment, SDS Pre/post, Surgery, Central Sterile Processing).

SUPERVISION

• Reports directly to the President/Chief Executive Officer

QUALIFICATIONS

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

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

• Minimum of 3 years of Senior Level Nursing Leadership experience.

• Professional knowledge of nursing practice and the business of nursing.

• Advanced interpersonal and communication skills necessary.

• Effective leadership to build teams and create buy-in.

• Effectively communicate with a wide variety of hospital personnel, community residents, and outside agency personnel.

• Advanced analytical skills necessary to develop and implement new nursing systems, revenue budgets and prepare special and recurring reports or analysis. A strong ability to analyze nursing business operations.

• A high level of experience in quality outcomes and patient care.

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

PRINCIPLE DUTIES AND RESPONSIBILITIES

• ORGANIZATION TEAMWORK   

o Support the mission of JMMMMC.

o Demonstrate the core values of JMMMMC.

o Establish appropriate models of service delivery and identify areas of improvement.

o Create, implement, and oversee action plans.

o Encourages collegial contact among hospital departments.

o Ensure patient, visitor, and staff concerns are addressed timely and appropriately.

o Collaboratively work with Providers, Leadership, frontline staff, and vendors/contractors

o Represent JMMMMC positively in the community.

• ORGANIZATION SUPPORT  

o Adheres to JMMMMC policies and procedures.

o Demonstrate knowledge of Office/Workplace Safety.

o Demonstrate knowledge of JMMMMC Exposure Control Program

o Demonstrates knowledge of risk management and quality reports

WORK ROLE COMPETENCIES WORK PRACTICE

• Support and implement the development of approved hospital wide patient care programs. 

• Develop, review, revise, and oversee the implementation of clinical care services. 

• Assure the provision of nursing care in accordance with specialty, regulatory, and JMMMMC practice standards.

• Demonstrate knowledge of, compliance to, and staff education of CMS standards, ANA/Specialty Standards, and other regulatory standards impacting clinical departments of oversight.

ADMINISTRATIVE PRACTICE

• Facilitates the formulation and approval of Nursing Services annual goals and objectives in accordance with the JMMMMC strategic plan.

• Develops, monitors, and ensures adherence to strategic plans for assigned organizational components in relation to total nursing service.

• Facilitates the formulation and approval of Nursing Service Clinical Departments Operational Budgets.

• Works closely with fiscal services, medical records, case management, and directors to evaluate reimbursement practices and ensure that the most cost-effective procedures, drugs etc. are being utilized. Works to implement best practices as opportunities are identified.

• Responds to and communicates departments of oversight concerns, operations, practice changes and medical-legal issues to CEO, Risk Management, and medical staff as appropriate.  

• Monitors complaints, Incident Reports, Case Reviews and RCA’s.  

• Oversees the Clinical Nursing Departments Quality Assurance/Performance Improvement Plan.  

• Prepares, administers and/or monitors management and staff performance evaluations including development of annual goals/pillars.

• Oversees the review and update of the Nursing Services Orientation program and manuals. Oversees the monitoring and release of personnel from orientation in conjunction with Nursing leadership.

• Monitors Nursing Service turnover and recruitment/retention plans and initiatives.

PROFESSIONAL ACCOUNTABILITY/LEADERSHIP

• Demonstrates knowledge of and follows correct chain of command in handling management and patient care challenges, including crisis situations.

• Holds department meetings, records appropriate information, and follows through on actions.

• Holds direct reports accountable to meet goals/targets.

• Effectively mentors direct reports with a team oriented and collaborative approach.  

• Leads, facilitates, participates in, or contributes to selected committees specific to role and departments of oversight. 

• Attends mandatory hospital in-services and programs.

• Attends appropriate management and clinical seminars to enhance knowledge base and awareness of national trends.

Nursing Support Specialist LPN/CNA

The Nursing Support Specialist (NSS) LPN/CNA will be responsible for split duties as the NSS and support as an LPN or CNA. As an NSS, you will be responsible to support the Emergency Dept nurses by promoting communication efficiently from patient registration to discharge, accurately entering patient data into the registration application, order management application and clinical records of the EMR. As an LPN/CNA, your role will be to provide direct and indirect nursing care for assigned patients and utilizing the nursing process and carrying out provider’s orders for those patients. This is a 24 hour per week position that will vary between day shift (6:30am – 7:00pm), & night shift (6:30pm – 7:00am), plus rotating holidays and every 3rd wknd (Fri/Sat/Sun).

Qualifications:

 HS graduate or equivalent

 Office computer skills required

 Previous healthcare experience preferred

 Previous medical terminology preferred

 Must communicate effectively verbally and in writing

 Licensed Practical Nurse (LPN) preferred

Certification/Licensure

 Current Basic Life Support (BLS) 

 Current Licensed Practical Nurse (LPN)

 Current Certified Nursing Assistant (CNA)

GENERAL REQUIREMENTS

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

• Support the Acute Care Nurses in providing excellent patient care by promoting communication efficiently throughout the flow of patient care from registration to discharge

• Communicate effectively verbally and in writing

• Maintain confidentiality of patient information

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

• Practice in a fast-paced environment relevant to changing patient needs including work with acute, chronic, complex disease processes, emergency care, and care of those who are dying

SIGNIFICANT DUTIES 

• Performs registration of patients in ED areas

• Reports daily census of acute care area 

• Assists nursing in admitting patients to the ED areas

• Accurately collects and enters data into registration application or during downtime on paper

• Accurately enters orders into Order Management system under supervision of an RN

• Maintains expert level of knowledge of order management

• Demonstrates the ability to retrieve patient information form the Electronic Medical Record (EMR) applications as needed for medical providers, nursing staff, and information for transfer of patients

• Coordinates scheduling and orders with other departments per procedure

• Coordinates on call staff contact information at beginning of each shift

• Answers phone and transfers calls to appropriate person as needed at Acute Care and ED nurses’ stations

• Demonstrates ability to use paging system, nurse call system, telephone, fax and all methods of communication 

• Assists with transfer of patients to ensure transition of care by arranging transportation, faxing information and any other communication as directed by RN

• Acts as liaison with registration staff 

• Completes handoff at each change of shift between off-going and on-coming NSS

• Performs duties in ED as directed, including cleaning of units

• Maintains appropriate stock of ED supplies by using Kanban ordering system based on par levels

• Maintains office supplies and organization of supplies at nurses’ station

• Performs chart audits for quality committee as directed

• Demonstrates competency in communicating with nursing staff, providers, ancillary staff, patients and visitors

• Promptly communicates matters requiring immediate nursing intervention

• Demonstrates ability to adapt to changes in the workload as required, in view of patient census fluctuations and staffing levels

• Participate in continued learning opportunities and continued self-development pertinent to duties

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

• Reports pertinent observations and reactions regarding patients to appropriate personnel and records those observations per facility policy/procedure

• Collaborates with interdisciplinary team to provide patient care including daily hygiene, medication administration, mobility activities, therapeutic and supportive interventions

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

• Assists with delivery of care to patients including bathing, grooming, medication administration, and other therapeutic and/or supportive interventions as ordered

• Contributes to the evaluation of effectiveness of interventions and patient’s progress 

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

• Assists team in patient’s transition to next level of care 

• Incorporates cultural considerations into the plan/delivery of care

• Supports team efforts through timely and professional communication

• Actively participates in continued learning opportunities and continued self-development pertinent to the duties of the job

• Performs other related duties as assigned

Provide quality nursing care utilizing nursing process to the outpatient clientele of JMMMMC in the Pre and Post-surgical area of OR, Circulating duties in the OR, IV Infusion area, Cardiac Rehabilitation, Specialty Clinic, and Nuclear Medicine. This is a full time, 30 hr/wk position.

QUALIFICATIONS

Education and/or Experience

•             Graduation from an accredited nursing program

•             One year of acute care nursing experience

Certificates, Licensure, Registrations

•             Current Nebraska or Compact State RN licensure

•             Current ACLS and BLS certifications

SIGNIFICANT DUTIES

Pre and Post-op in the Surgery Department

•             Performs patient assessment including vital signs, allergies, medications, lab results.

•             Identifies the correct procedure and or extremity/surgery site.

•             Reviews the health status of the patient, reviews pending procedure and signs the pre-op surgical assessment checklist.

•             Properly communicates the necessary data to the appropriate individuals (anesthesia, physicians, circulating nurse)

•             Makes accurate and ongoing assessments of patient’s status and responds appropriately.

•             Documentation reflects patient status, nursing intervention, and patient needs

•             Carries out physician orders

•             Instructs patient and family regarding procedure instructions and post procedure instructions.

•             Prepares and administers medications, IVs, and blood products with 100 % accuracy within a designated safe time period per doctor’s order.

•             Witness of surgical consent.

•             Ensures chart is completed with appropriate signatures, dates, and times

•             Gives proper report to circulating nurse and/or accepting nurse.

•             Communicates patient’s condition to waiting family.

•             Responsible for dismissal of outpatients, assembles charges and completes charges in Order Management

•             Complies with staffing needs and schedules

•             Proficient in IV skills

Circulating Duties in the OR

•             Perform the duties of the Circulating RN in endoscopy and in the major OR

•             Performs duties described in in the Pre and Post-operative area of this job description

•             Helps prepare the operating room for surgical procedures

•             Assists scrub nurse in opening and organizing of sterile supplies using sterile techniques

•             Ensures the chart is completed with appropriate signatures, date, and times prior to patient going to the OR/procedure room

•             Transports or escorts the patient to surgery

•             Positions patient, prepares operative site

•             Tying of sterile gowns, position lights and positions equipment

•             Assists the anesthetist as needed

•             Initiates the “Time Out” process (correct patient, correct site)

•             Observes patient for changes in condition during the procedure

•             Responsible for the sponge, instrument, and needle counts with scrub tech at designated intervals

•             Responsible for packaging, handling, recording of tissue specimens, cultures, etc., and transport to laboratory

•             Accompanies patient and records to and from OR and gives proper report to accepting nurse

•             Manage patient in the post-op/recovery setting

•             Communicates patient’s condition to waiting family

•             Responsible for dismissal of outpatients, assemble charge slip, completes charges

IV Infusion

•             Proficient and accurate administration of medications and treatments

•             Accurate documentation

•             Proficient in IV start skills (infusaports, PICC lines, Central line skills, phlebotomy)

•             Provides patient education regarding medication, treatments, and appointments

•             Schedules appointments

•             Notifies patients of clinic appointments

•             Wound care

•             Correct charging of services

•             Able to function and problem solve under minimal supervision

•             Administration of chemotherapy via multiple routes

•             Complies with staffing needs and schedules Cardiac Rehabilitation

•             Monitors patient’s participation

•             Evaluates progress

•             Provides family and patient teaching

•             Patient charges

•             Monitoring of telemetry and patient during exercise

•             Able to function and problem solve under minimal supervision

•             Accurate documentation in the patient chart/EMR

•             Coordinate patient’s rehabilitation sessions

Specialty Clinic

•             Assess including taking vital signs and report patient’s condition to physicians and records in patient chart

•             Recognizes the need to involve family and/or significant others in the patient’s care

•             Manages the patient charts

•             Administration and documentation of medication, dressing changes, assist with minor surgery, and performs related tasks as directed by the practitioner

•             Collects samples such as urine, blood, and sputum for patient testing

•             Provides patient/family education

•             Completes patient charges Nuclear Medicine

•             Initiates assessment based on the patient’s presenting problems or needs

•             Collecting key information from patient, family, lab, and other reports

•             Provide patient teaching

•             Documents assessment, clinical finding, and related information

•             Performs therapeutic nursing interventions per physician order and standards of care

•             Assists with performance of cardiovascular procedures under instruction of a physician

•             Performs therapeutic nursing interventions consistent with:

1.           Dysrhythmia assessment and intervention

2.           Intraprocedural assessment and care

3.           Cardiac stress testing, nuclear stress testing

•             Documents assessment and ongoing finding, interventions, patient education, and outcomes

•             Patient education/teaching

•             Provides information to patients and families to reduces anxiety

•             Provides direct care to patients

•             Initiates IV access for Nuclear tech for ordered nuclear testing

GENERAL REQUIREMENTS

•             Ability to exercise professional judgment, courtesy, and professionalism in daily interactions with others

•             Communication effectively both verbally and written

•             Work effectively with others

•             Prolonged, extensive or considerable standing or walking

•             Assists with lifting or moving supplies, equipment and patients

•             Cleans rooms after patient leaves and between patients

•             Restocking of supplies

•             Maintain proper knowledge and use of equipment (IV pumps, monitors, telemetry, etc.)

•             Considerable reaching, stooping, bending, kneeling or crouching

•             Regularly exposed to the risk of blood borne disease

•             Exposed to patient elements

•             Computer skills

•             Excellent phone skills

•             Proper use of the EMR system

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

•             Actively participates in continued learning opportunities and continued self-development pertinent to the duties of the job

•             Performs other related duties as assigned

•             Able to adjust work schedule to fit the needs of multiple areas of service

•             Actively participates in the QA program

•             Practice standard precautions

PRIMARY FUNCTION  

Responsible for all aspects of Human Resources (HR), both directly and indirectly, including policies, compensation, employee retention, and benefit management with an emphasis on recruitment and staffing. The Director of Human Resources is responsible for coordinating and managing all human resources functions of payroll, compensation, benefits administration, recruitment, retention, employee relations, and policy administration. Responsible for overseeing the workers compensation program, coordinating and administering annual education for the organization. 

QUALIFICATIONS

Education and/or Experience

• Bachelor’s Degree in Human Resource Management or related business field required.  

• Minimum of five (5) years’ experience in Human Resources leadership.  

• Requires effective organizational and problem-solving skills and ability to work well in a non-structured environment.  

• Strong oral and written communication skills are mandatory.

• Needs the ability to handle a variety of duties with frequent change of tasks without loss of efficiency.

• Experience with talent management including workforce planning, succession planning, performance management etc.

Preferred Education and Experience

• Master’s Degree in Human Resources, MBA, or related degree from an accredited college or university

• Experience in the healthcare industry

SIGNIFICANT DUTIES 

• Develops and implements the strategic Human Resources plans with a strong focus on human capital practices, employee relations, performance management, employee communications, employee engagement and retention activities and, in conjunction with CEO and CFO, the strategic compensation and benefits.

• Maintains employee database (HRIS) including, but not limited to personnel files, personnel policies and procedures, benefits, salary information, job descriptions, performance appraisals, time and attendance, and hiring/termination records.

• Partners with legal counsel on requirements and government reporting regulations affecting Human Resources.

• Develops and implements JMMMMC employment policies and procedures system wide, ensuring compliance with all federal and state employment laws.

• Provides proactive and strategic guidance and support for organizational planning and development that aligns the Human Resources agenda in support of key business strategies. This includes and is not limited to items such as the development/training/continuing forward a leadership development plan and change management. 

• Acts as a change champion during periods of restructuring, mergers, or cultural transformations by identifying best practices and approaches that align with the culture and support leaders.

• Serves as a resource for all team members including department managers and directors for human resource information and training. Responsible for disciplinary policies and procedures. Keeps the Employee Handbook current and assures that it meets all required personnel laws.

• Coordinates the recruitment process including job postings, offer letters, interviewing, and coordination of potential applicant visits to the facility. Coordinates the hospital physician and advanced practice provider recruitment process in conjunction with the CEO and Medical staff.

• Responsible for new employee hire and orientation program and procedures. 

• Manages the performance review process to ensure effectiveness, compliance, and equity.

• Serves on and participates in other projects/tasks as required by hospital committees or administration. Assist the CEO as necessary with contract negotiations, preparing letters of intent and compensation recommendations. 

• Assure accuracy of time and attendance records. Monitors the training requirements and certifications of staff to ensure all are current including assigned compliance training.

• Prepares, communicates, and maintains appropriate documentation for establishing employee benefits coverage, updates employee benefits records, to ensure compliance with benefits regulations.

• Manages and monitors the Workers Compensation program along with FMLA policies/procedures/processes.

• In conjunction with CFO, develops and maintains the annual operating budget for the Human Resources Department. 

• Fulfills mission statement by performing job duties with a high level of customer service while contributing to a positive and professional environment. 

• Always maintain a high degree of confidentiality. Follows all HIPAA guidelines and promotes and ensures patient safety.

• Special projects and other duties as assigned.

Performance Improvement: 

• Participates in the PI program, including development and review of internal department quality monitors, tracking and reporting quarterly PI findings in a timely manner, reporting all patient quality issues to the Quality Department and facilitating on-going education for staff regarding their role in the PI process.  

ORGANIZATIONAL/DEPARTMENTAL RELATIONSHIPS

• Reports directly to the CEO. This position supervises all functions of the Human Resource Department. Responsible for working with department leaders for compliance with federal and state laws regarding personnel policies. Must be able to effectively work with all hospital departments for various aspects of the position.

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.

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, 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.

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

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.