Registered Nurse - Emergency - Weekender - Full Time

• Demonstrates sensitivity and understanding of patient's rights.
• Transcribes/countersigns physician orders; implements orders and documents of all patient-related information; receives and interprets physician orders, allowing no misunderstanding.
• Demonstrates sensitivity and insight of patient's ability to understand what activity is occurring during Methodist Fremont Health (MFH) visit/hospitalization.
• Notifies physicians of pertinent observations and reactions, incidents, and abnormal laboratory and x-ray results, as required.
• Is accurate and complete in planning care for the patient according to needs from admission to discharge.
• Shows ability to modify planning according to the current flow of events while maintaining positive patient outcomes.
• Maintains standards of nursing care and implements policies and procedures of the hospital and department.
• Documentation of all assessments and reassessments implementation and evaluation of patient care determined is accurate, legible, and timely.
• Utilizes effective clinical delegation skills. Demonstrates accountability from knowing that appropriate nursing care is being delivered to assigned patients and evaluates outcome of delegation.
• Always demonstrates accountability for administration of, observation and reporting effects of drugs, intravenous procedures, other therapeutic and diagnostic measures in a safe and accurate manner; carefully orders, prepares, administers and evaluates medication and intravenous therapy.

• Is able to accurately assess care for a patient's unique need (I.e. diagnosis, age) including physical-psychosocial aspects in accordance with unit guidelines.
• Utilizes the history and assessment information to identify patient problems or potential problems and set goals.
• Demonstrates the ability to effectively utilize the nursing process when providing direct patient care for all individuals from infancy through advanced age, as unit competency completed.
• Executes planned care and evaluation outcomes for all patients under his/her care. Modifies the care plan according to evaluated outcomes.
• Communicates pertinent information regarding patient care appropriately (I.e. shift report, unit to unit, transfer, etc.).
• Assesses, develops, and implements a teaching plan for patients/families; utilizes assessment data and discharge plan in a meaningful way for each patient's ability to understand. Monitors plan according to need.
• Maintains standards of nursing care and implements policies and procedures of the hospital and the department.
• Provides direct patient care utilizing professional nursing skills and judgment according to physicians and other licensed practitioner's orders.

• Performs technical aspects of patient care and consistently demonstrates clinical competencies according to established policies and procedures; utilizes proper techniques; adapts techniques to unique needs of individual patients.
• Is proficient in operation of supporting equipment (including, but not limited to) Pyxis, computer data entry, One Touch, and IMED.
• Demonstrates safety consciousness and incorporates safe practice at all times.
• Performs technical aspects of patient care according to established policies and procedures. Demonstrates ability to organize and execute new procedures.
• Demonstrates proficiency in placing, evaluating, and maintaining IV lines.
• Demonstrates ability to operate various equipment and supplies that are used.
• Demonstrates proficiency in airway management.
• Demonstrates ability to perform in an accurate and precise manner in emergency situations.
• Provides for patient comfort; positioning, extra bathing, straightening linens, putting personal articles within reach, courtesy, responsiveness as required.

• A formal training program after high school required.
• Graduate from an accredited Diploma School of Nursing/College of Nursing with an Associate of Science in Nursing (ASN) or Bachelor's of Science (BSN) required.

• Current valid Nebraska Registered Nurse (RN) License, valid compact multistate license to work in Nebraska, or a temporary permit while awaiting licensure required.
• Current American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
• Current American Heart Association Advanced Cardiac Life Support (ACLS) certification required within 6 months of hire.
• Current American Heart Association Pediatric Advanced Life Support (PALS) certification required within one year of hire.
• Trauma Nurse Core Curriculum (TNCC) required within two years of hire.
• Emergency Nurse Pediatric Course (ENPC) required within two years of hire.
• Certified Critical Care Nurse (CCRN) preferred.
• Certified Emergency Nursing (CEN) preferred.

• One to two years nursing experience preferred.
• Emergency or Acute care nursing experience preferred.

• Medium Work – Exerting up to 50 pounds of force.

• Occasionally Performed (1%-33%):

• Climbing
• Crawling
• Kneeling
• Sitting
• Frequently Performed (34%-66%):

• Balancing
• Carrying
• Crouching
• Distinguish colors
• Keyboarding/Typing
• Lifting
• Pulling/Pushing
• Repetitive Motions
• Stooping/bending
• Twisting
• Constantly Performed (67%-100%):

• Fingering/Touching
• Grasping
• Hearing
• Reaching
• Seeing/Visual
• Speaking/talking
• Standing
• Walking

• Located in an indoor area with frequent exposure to mild physical discomfort from dust, fumes, temperature, and noise. Examples: patient care providers and laboratory technicians.

• Not Related:

• Electrical Shock/Static
• Rare (1-33%):

• Radiation Alpha, Betz and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc.)
• Radiation Non-Ionizing (Ultraviolet , visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) – NICU only
• Occasionally (34%-66%):

• Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
• Equipment/Machinery/Tools
• Explosives (pressurized gas)
• Hazardous Drugs (exposure risks, personal protective equipment required)
• Frequent (67%-100%):

• Chemical agents (Toxic, Corrosive, Flammable, Latex)
• Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (Blood or Body Fluid-BBF)
• Mechanical moving parts/vibrations

Methodist Health System