RN- Emergency Room (Casual Call, Variable Shift)

Bozeman Health; United States; On-site; USD 70,000 - 95,000; Full time

Job summary

Bozeman Health is seeking a Registered Nurse to collaborate with the care team, educate patients and families, assess needs, and initiate interventions. The role emphasizes quality nursing practice, safety, and patient-centered care within a fast-paced environment.

The position requires Montana RN licensure, BLS, ACLS within 4 months, NIH Stroke Scale certification within 6 months, and related stroke and trauma certifications within specified timelines. Bachelor’s degree preferred.

Qualifications

• Active Montana RN license required.
• BLS certification required.
• ACLS certification within 4 months of hire.
• NIH Stroke Scale certification within 6 months of hire.
• PALS or ENPC within 1 year of hire.
• Trauma Nursing Core Course within 1 year of hire.
• Bachelor’s degree in nursing preferred.
• Emergency Nursing Pediatric Course certification within 1 year.

Responsibilities

• Collects comprehensive data pertinent to the patient’s health or the situation (Assessment).
• Analyzes assessment data to determine diagnoses or issues (Diagnosis).
• Identifies expected outcomes for a plan individualized to the patient or situation.
• Develops a plan of care with strategies and alternatives to attain outcomes.
• Implements the identified plan of care.
• Promotes health and a safe environment.
• Enhances nursing practice quality and effectiveness.
• Maintains knowledge reflecting current nursing practice.

Skills

Sound judgment

Professional demeanor

Teamwork

Stress management

Shift flexibility

Stroke competency

Education

Montana RN licensure

BLS

ACLS within 4 months

NIH Stroke Scale certification within 6 months

PALS or ENPC within 1 year

Trauma Nursing Core Course within 1 year

Bachelor’s degree in Nursing (preferred)

ENPC certification within 1 year

Job description

Position Summary

The Registered Nurse works in a collaborative and cooperative relationship with other members of the health care team, plans and implements patient and family education and is responsible for assessing the needs and initiating appropriate intervention for patients.

Minimum Qualifications

• Current Montana Licensure (Registered Nurse)
• American Heart Association BLS
• American Heart Association ACLS within 4 months of hire
• National Institute of Health Stroke Scale Certification within 6 months of hire
• American Heart Association PALS or Emergency Nursing Pediatric Course certification within 1 year of hire
• Trauma Nursing Core Course certification within 1 year of hire
• Competence in and a willingness and ability to practice modified primary nursing
• Preferred Bachelor’s Degree in Nursing
• Emergency Nursing Pediatric Course certification 1 year emergency nursing or critical care experience

Essential Job Functions

• Collects Comprehensive data pertinent to the patient’s health or the situation (Assessment)
• Analyzes the assessment data to determine diagnoses or issues (Diagnosis)
• Identifies expected outcomes for a plan individualized to the patient or the situation
• Develops a plan that prescribes strategies and alternatives to attain expected outcomes (Plan of Care)
• Implements the identified plan of care
• Employs strategies to promote health and a safe environment
• Systematically enhances the quality and effectiveness of nursing practice
• Attains knowledge and competency that reflects current nursing practice
• Evaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules and regulations
• Interacts with and contributes to the professional development of peers and colleagues
• Collaborates with patient, family and others in the conduct of nursing practice
• Integrates ethical provisions in all areas of practice
• Integrates research findings into practice
• Provides leadership in the professional practice setting and the profession

Knowledge, Skills, and Abilities

• Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
• Ability to work in a busy and stressful environment
• Creativity, problem analysis and decision making
• Ability to work varied shifts
• Exercises tact, discretion, sensitivity and maintains confidentiality
• Self-directed, completes assignments accurately, thoroughly and with minimal oversight
• Strong emotional intelligence, interpersonal and teamwork skills
• Stroke Competency: Complies with hospital policies, procedures, protocols, and guidelines related to care for patients with hyperacute and acute stroke
• Participates in two hours of initial cerebrovascular disease (stoke) education within one year of hire
• Participates in one hour annually of cerebrovascular disease (stroke) education

Schedule Requirements

This role requires regular and sustained attendance. The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts. On-call work may be required to respond promptly to organizational, patient, or employee needs. This position is represented by the Montana Nurse's Association.

Physical Requirements

• Lifting (Repeatedly – 50 pounds): Exerting force occasionally and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people.
• Sit (Occasionally): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain.
• Stand (Repeatedly): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain.
• Walk (Repeatedly): Walking and moving around within the work area requires good balance and coordination.
• Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms.
• Twist/Bend/Stoop/Kneel (Repeatedly): Twisting, bending, and stooping require flexibility and a wide range of motion in the spine and joints.
• Reach Above Shoulder Level (Repeatedly): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability.
• Push/Pull (Repeatedly): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward.
• Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling.
• Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials.
• Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow.
• Exposures (Continuously): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases are caused by contact with patients in areas that may have contagious illnesses. Emotionally challenging situations, such as dealing with distressed patients or difficult family interactions.

*Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%). The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified.

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