Night Shift Registered Nurse

Fillmore-County-Hospital; Geneva (NE); On-site; USD 65,000 - 85,000; Full time

Job summary

Fillmore County Hospital in Nebraska is seeking a registered nurse for night shifts (7:00pm-7:00am) providing, prescribing, delegating, and coordinating nursing care across patient groups. The role emphasizes adherence to standards, safety, HIPAA, and performance improvement initiatives.

Requirements include Nebraska RN license, BLS, and NRP; BSN preferred; rural health nursing experience preferred. Evening/night schedules and weekend/holiday requirements apply.

Qualifications

• Graduate from an approved school/college of nursing.
• Currently licensed as a Registered Nurse in the State of Nebraska.
• Basic Life Support (BLS)
• Neonatal Resuscitation Program (NRP)
• Bachelor's degree in nursing preferred
• One year experience in rural health nursing preferred

Responsibilities

• Utilizes the nursing process to assess, plan, intervene, and evaluate patient care.
• Performs admission assessments and patient/family teaching.
• Oversees care delivery, staffing, and secure pharmacy coverage.
• Documents accurate patient status and nursing interventions.
• Communicates with health team members about patient condition and plan of care.
• Administers medications and medical procedures per physician orders and policy.

Skills

Nursing process

Patient care

Effective communication

Team leadership

Education

Nebraska RN license

BSN preferred

Job description

Night Shift hours are 7:00pm-7:00am. Every third weekend and holiday are required.POSITION PURPOSE:Provides, prescribes, delegates and coordinates nursing care with other health care providers to meet holistic needs of patients.QUALIFICATIONS:Graduate from an approved school/college of nursingCurrently licensed as a Registered Nurse license in the State of NebraskaBasic Life Support (BLS)Neonatal Resuscitation Program (NRP)Bachelors degree in nursing preferredOne year experience in rural health nursing preferredGENERAL REQUIREMENTS:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The requirements listed below are representative of the knowledge, skill, and / or ability required:Ability to add, subtract, multiply, and divideAbility to generate, read, interpret, and take action as it relates to basic financial statements, national and state regulations, safety rulings, operational and maintenance and organizational policies / proceduresAbility to write reports and correspondenceAbility to effectively present information to patients, families, employees, health care providers, etc...Ability to work cooperatively and communicate effectively to maintain good working relationships with staff and health care providersAbility to work with skill in identifying problems; making frequent decisions regarding method of performanceEQUIPMENT, TOOLS, MATERIALS:CalculatorComputer and printerFax and copy machineGeneral office materials/suppliesInformation SystemsTelephone systemAll Patient Care EquipmentIV pumps, lifts, beds, monitors, computers, glucometers, oximeters, pneumatics, CPM, etc.SECURITY/ACCESS:Will have access to the facility 24 hours a day.Will have access to confidential information abiding by the organizations privacy policies and regulations concerning this information.Essential Job Duties and Responsibilities1. Utilizes the nursing process, for the performance of patient care, to assess, plan, intervene, and evaluate patient care to achieve prioritized patient outcomes.Performs complete admission assessment, including full body system analysis and home med reconciliation process for med-surgical, obstetrical, newborn, pediatric, ER and outpatients.Performs patient rounding for all patient assignments.Performs patient/family teaching for assessed knowledge deficits.Evaluates patient progress toward desired outcomes prior to discharge.Demonstrates personal accountability in the delivery of patient care in a competent, professional and compassionate manner.2. Provides patient care supervision.Effectively oversees care delivery and staffing needs and assignments on the nursing unit.Provides secure pharmacy coverage during hours pharmacy is not staffed.Demonstrates knowledge of treatments, policies/procedures, and equipment related to med/surg, obstetrical/newborn care, emergency room and OP care and monitored beds.Demonstrates team leadership skills by effectively organizing and assigning shift work load to accommodate patient needs and provide safe patient care.3. Performs and maintains documentation.Documents accurate and ongoing assessments of patient status that reflect nursing interventions, patient responses, patient teaching and status of outcomes at discharge.Completes shift end check with another nurse prior to leaving duty.4. Communicates effectively.Communicates and collaborates effectively with other health team members regarding patient condition, nursing plan of care, patient satisfactions needs and recommendations for meeting identified outcomes.Follows approved shift report format when communicating patient information.Identifies and recognizes abnormal symptoms/changes in patient condition, established priorities, and takes appropriate action. Appropriately reports condition changes to medical provider.5. Promotes and ensures patient safety in performance of all responsibilities.Administers medications, treatments and procedures in a timely and safe manner according to physician orders and nursing policy.Demonstrates proficient technical/clinical skills and operational knowledge of equipment on unit.Informs and involves DON regarding patient care issues in a timely and appropriate manner.Utilizes proper body mechanics, transfer/lifting techniques and appropriate equipment to minimize fall risk to patient and injury to self.6. Follows HIPAA regulations and ensures that the confidentiality of patients medical, personal, financial records, employee records, and organizational records is maintained.7. Participates in FCH committees, quality assurance, performance and quality improvement initiatives, and activities which support the facility and department operations.8. Complies with the state and federal regulatory requirements related to the performance of FCH operations and requirements of the FCH Compliance Program. Including but not limited to:The Compliance Policy.Completes all on-line training annually and as assigned.All department and organization-wide policies.Considers the impact of regulations such as Critical Access Hospital requirements, along with Federal and State of Nebraska regulations and discusses concerns appropriately to ensure compliance.9. Presents self in a professional manner and enhances professional growth and development through participation in education programs, current literature, in-service meetings and workshops.Seeks opportunities for continued growth and performance improvement.Always maintains a professional appearance and manner.Dependable and completes work in a timely manner.Demonstrates an understanding and emphasis on quantity, quality and knowledge of duties and tasks.10. Performs other duties as assigned.Essential Standards of Service Excellence1. Abides by Fillmore County Hospitals Standards of Professional Courtesy and Respect which include:Communication & InteractionCustomer Service & RespectTeamworkTelephone CommunicationSafety, Pride &OwnershipProfessional Appearance2. Abides by Fillmore County Hospitals Core Values 1-12 which include:AuthenticityIntegrityAwarenessCouragePerseveranceFaithPurposeVisionFocusEnthusiasmServiceLeadershipESSENTIAL WORK ENVIRONMENT & PHYSICAL REQUIREMENTS:The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Physical Activity Not Applicable Occasionally Frequent ContinuousSitting XStanding XWalking XClimbing XDriving XLifting (floor to waist level) 30 lbs. 50 lbs. 10 lbs.Lifting (waist level and above) 30 lbs. 50 lbs. 10 lbs.Lifting (shoulder level and above) 30 lbs. 50 lbs. 10 lbs.Carrying objects XPush/Pull 300 lbs. 200 lbs. 0 lbsTwisting XBending XReaching forward XReaching overhead XSquat/kneel/crawl XWrist position deviation XPinching/fine motor activities XKeyboard use/repetitive motion XTaste XTalk XSmell XSensory Requirements Not Applicable Accurate 20/40 Very Accurate 20/20Near Vision XFar Vision X Not Applicable Yes NoColor Discrimination X Not Applicable Accurate Minimal ModerateDepth Perception XHearing XEnvironment Requirements Not Anticipated Reasonably AnticipatedOccupational Exposure Risk Potential XBloodborne Pathogens XChemical XAirborne Communicable Disease XExtreme Temperatures XRadiation XUneven Surfaces or Elevations XExtreme Noise Levels XDust/Particulate Matter XOther (List) XShift Requirements 8 hrs/day 10 hrs/day 12 hrs/day Other (varied)Usual workday hours X Not Applicable Yes NoRegular, punctual attendance for assigned shifts XAvailable to work overtime XQUALIFICATIONS:Graduate from an approved school/college of nursingCurrently licensed as a Registered Nurse license in the State of NebraskaBasic Life Support (BLS)Neonatal Resuscitation Program (NRP)Bachelors degree in nursing preferredOne year experience in rural health nursing preferred