Registered Nurse - Outpatient Surgery/Endoscopy - Casual

Nebraska Methodist Health System; Council Bluffs (IA); On-site; USD 65,000 - 90,000; Full time

Job summary

Nebraska Methodist Health System in Council Bluffs, IA, is seeking a Registered Nurse to deliver patient-centered care on the Methodist Jennie Edmundson campus. You will perform assessments, develop and implement care plans, administer medications, and collaborate with physicians and the care team to ensure safe, high-quality outcomes.

The role requires flexibility to cover day hours with weekend, evening, and holiday call shifts, a BSN preferred but an acute care nursing license is required,

Qualifications

• BSN preferred; RN license required.
• Graduate of an accredited nursing program is required.
• Annual mandatory education requirements must be completed.

Responsibilities

• Provides age-appropriate nursing care per Population Specific Criteria.
• Identifies patient care needs and delivers individualized customer service.
• Performs initial and ongoing nursing assessments to guide discharge planning.
• Develops and revises the care plan with input from the care team.
• Implements interventions per the established plan while adhering to standards of care.
• Evaluates patient response and communicates change in condition and plan.
• Performs clinical skills competently and safely and maintains equipment and supplies.
• Participates in meetings and performance improvement activities.
• Adheres to infection control guidelines and scope of practice.
• Ensures proper utilization of staff and effective communication.

Skills

Interpersonal skills

Multi-tasking

Computer skills

Education

Bachelor of Science in Nursing

Graduate of an accredited school of nursing

Annual mandatory education requirements

Job description

Job Summary

Location: Methodist Jennie Edmundson

Address: 933 E. Pierce St. - Council Bluffs, IA

Work Schedule: Mostly day hours; MUST be willing to pick up call shifts during weekends, evenings, and holidays.

Accountable for the delivery of quality care to patients and families according to the individualized needs of the patient.

Responsibilities

• Provides appropriate care specific to the age and population of the patient, ensuring understanding and comfort level of treatment as outlined in the Population Specific Criteria.
• Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to patient needs and culture.
• Performs an initial and ongoing assessment to determine the patient’s nursing care needs:
  • Includes data from the patient and significant others as appropriate.
  • Prioritizes data collection according to immediate needs.
  • Uses assessment findings in discharge planning.
• Develops, reviews, revises, and individualizes the plan of care to address nursing care needs for optimum outcomes:
  • Collaborates with physicians and other clinical disciplines as appropriate.
  • Provides teaching specific to the patient’s health care problem.
  • Plan reflects continuing care needs and/or referrals for discharge/transfer.
• Implements interventions consistent with the established plan of care in a safe and appropriate manner:
  • Follows nursing protocols and standards of care for the unit.
  • Uses current knowledge in nursing practice based on standards and research literature.
  • Administers medication without error and uses critical thinking regarding medication effects on the patient.
• Evaluates patient care to determine response to interventions for optimal outcome:
  • Monitors outcomes and documents patient response.
  • Evaluates the patient’s capabilities and limitations related to interventions.
  • Continually monitors the patient and/or significant others’ ability to manage care needs after dismissal.
  • Gives a complete verbal or written shift change report, including current care requirements, SBAR content, and overall plan of care.
  • Recognizes and addresses patient and family capabilities and limitations (physical and mental).
• Performs technical skills competently and independently to assure patient safety:
  • Competently performs technical skills independently.
  • Accountable to learn new skills and equipment within specified time frames.
  • Demonstrates correct and safe technique in the use of equipment according to policy and procedure manuals.
  • Follows procedure for obtaining, returning, cleaning, or disposing of equipment and supplies.
  • Charges accurately for use of supplies and equipment according to policy.
  • Maintains competence in area of experience.
• Maintains professional behavior in attitude, demeanor, and interactions to achieve the organization’s mission:
  • Participates in meetings and/or committees as needed to assist in decisions affecting the unit or organization.
  • Identifies and participates in performance improvement activities.
• Initiates action to correct, prevent, and/or minimize risk(s) to patients, families, or hospital employees:
  • Completes appropriate report form for any risk.
  • Works within the scope of practice as defined by the Nurse Practice Act.
  • Observes appropriate precautions when administering hazardous medications or handling excreta from patients who have received hazardous medications.
  • Follows infection control guidelines and practices.
• Reviews, delegates, and evaluates plans for appropriate utilization of staff at all levels of practice:
  • Right task (within scope of practice, based on desired outcome, routine, low risk).
  • Right person (assess competency by certification, licensure, skills list, demonstrated skill).
  • Right communication (clear, concise, correct, complete).
  • Right feedback: the reciprocal process—ask teammates’ input first, recognize effort, get teammates’ solution to problem, check off points.

Education

• Bachelor of Science in Nursing (BSN) from an accredited school of nursing preferred.
• Graduate of an accredited school of nursing required.
• Successful completion of annual mandatory education requirements.

Experience

• No experience necessary.

License/Certifications

• Current valid Registered Nurse (RN) License, valid compact multistate license to work, 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.
• Preferred: core certification related to area of specialty from National Certification Corporation (NCC) within 1 year of eligibility.
• Current American Heart Association Advanced Cardio Life Support (ACLS) Certification preferred for Ortho Neuro and Surgery Main.

Skills, Knowledge, Abilities

• Strong interpersonal skills necessary to effectively communicate with patients, family members, hospital personnel, and co‑workers.
• Ability to multi‑task and prioritize work assignments.
• Ability to learn, retain, and utilize computer skills required for the department and hospital information system.

Physical Requirements

• 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

Job Hazards

• Not Related:
  • Electrical Shock/Static
  • Radiation Non‑Ionizing (Ultraviolet, visible light, infrared, and microwaves that cause injuries to tissue or thermal or photochemical means)
• Rare (1%–33%):
  • Radiation Alpha, Beta and Gamma (particles such as X‑Ray, Cat Scan, Gamma Knife, etc.)
  • Radiation Non‑Ionizing (Ultraviolet, visible light, infrared, and microwaves that cause 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 airborne and bloodborne viruses) (Jobs with Patient contact) (BBF)
  • Mechanical moving parts/vibrations

Equal Opportunity Statement

Nebraska Methodist Health System is an affirmative action/equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by federal, state or local law.