Registered NurseThe registered nurse in acute care must adhere to the RN legal scope of practice. The RN role is responsible for utilizing the nursing process to provide quality, competent nursing care in the acute care setting to patients, families, and significant others. Performs under direct supervision of the Chief Nursing Officer and Assistant Director of Patient Care Services. Provides direct nursing care to the patients and supervises daily nursing activities performed by Licensed Practical Nurses and certified nursing assistants. Such care and supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations. This role must work collaboratively with other team members, physicians, and healthcare workers to deliver quality care. Must understand and use nursing process, must be able to critically think and be self-directed to manage patient care. Must be able to effectively delegate, collaborate, and negotiate with team members. Must handle stressful situations effectively. Must be able to patient teach, be able to communicate effectively with patients, family, physicians, and other providers. When students are providing patient care, treatment, and/or services as part of their training any or all employees may be asked to supervise employees.RN – Graduate from an American College of Nursing or National League for Nursing accredited college of nursing. Current South Dakota RN license is required, or multi state licensure privileges.Current RN license to practice in the State of South Dakota or multi-state licensure privileges. BLS, ACLS, NRP required. TNCC recommended.Normal working hours are twelve-hour shifts, Sunday through Saturday, including holidays. Occasionally may need to work beyond normal shift as the workload necessitates.
May be exposed to communicable or infectious disease, hazardous materials, and injury from performance of assigned duties. Subject to multiple sensory and environmental stressors. Initial Tuberculosis (TB) test and drug screening is required by Winner Regional Health. Rubella titer will also be drawn upon hire and immunization is required if no past exposure or indication of immunization.Required to wear name tag provided by WRH and to follow the dress code of WRH.Ability to read, write, speak, and understand the English language. Excellent oral and written communication skills. Ability to deal with people in a professional manner. Knowledge of nursing and medical practices, procedures, laws, regulations, and guidelines that pertain to acute care.HonestyWe will do the right thing at all times, even if it is difficult, maintaining strong, ethical practices. We protect the confidentiality of others, including patients, staff and the facility as a whole. We will take responsibility for our actions.ExpertiseWe will demonstrate superior judgment, training and skill, at all times, demonstrating professionalism while doing so. We will perform all aspects of our job to the best of our ability, utilizing all resources and tools available.ApproachabilityWe will be non-judgmental, friendly, and open and willing to listen to everyone we come into contact with while performing our duties. We are humble and learn from others.RespectWe will be understanding and sensitive to others' feelings; caring and responding in a manner that sets them at ease, keeping the situation in perspective without minimizing others' feelings or reactions. We will listen to others with full attention in a sincere, civil fashion, being careful not to be judgmental of the speaker. We maintain composure when facing conflict and avoid jumping to conclusions and defaming another's name.TeamworkWe willingly work together with a common approach, trusting and supporting members of our organization, using our skills and resources, sharing information to achieve a common aim.AssessmentCollects and organizes pertinent patient assessment data. Seeks information from patient, family, health care providers and environment on an ongoing basis.DiagnosisAnalyzes assessment data to identify expected outcomes unique to the patient. Expected outcomes are mutually formulated with patient, family and health care team.
Formulates measurable expected outcomes using standards of care as guides. Identifies expected outcomes which are realistic in respect to patients present and potential capabilities.Identification of OutcomesDevelops plan of care consistent with assessment data. Involves patient, family and healthcare providers to identify outcomes. Incorporates cultural needs/diversity in individualized patient outcome identification. Defines outcomes with attainable timeframes. Documents outcomes as measurable goalsDatabase DataValidates abstracted data against the medical record and enters additional data elements as appropriate. Utilizes critical thinking while completing the abstract for recognition of data elements requiring follow-up.PlanningDevelops a plan to provide direct nursing care to attain outcomes. Individualizes plan based upon identified patient needs, such as economic impact, cultural concerns. Prioritizes implementation of diagnoses and interventions based on patient condition. Utilizes standardized terminology to communicate to others.ImplementationImplements the interventions identified in the plan of care. Carries out interventions in a safe and timely manner. Incorporates evidenced-based treatments in care of patient. Uses resources and collaborates with others to implement plan. Documents intervention implementation, noting exceptions/modifications.EvaluationEvaluates the patient's progress toward attainment of outcomes. Utilizes an organized ongoing process to determine outcome attainment based on the plan of care.
Includes patient, family, health care providers involved in patient care in evaluation process. Documents evaluation findings. Utilizes evaluation data to revise as necessary, diagnoses, outcome, and plan and implementation process. Communicates results to patient and those involved in care.Quality of CareDocuments in a responsible, accountable and ethical manner.ComplianceMust comply with the Corporate Compliance Policy and all laws, rules, regulations and standards of conduct relating to the position. The employee has a duty to report any suspected violations of the law or the standards of conduct to the Compliance Officer or the Chief Executive Officer.General ActivityIn a regular workday, employee may:Sit 1/2 Hours at a time; up to 1-1.5 Hours during the dayStand 1 Hours at a time; up to 3-4.5 Hours during the dayWalk Hours at a time; up to 4-6 Hours during the dayMotion Employee is required: (In terms of a regular workday, "Occasionally" equals 1% to 33%, "Frequently" 34% to 66%, "Continuously", greater than 67%)Bend/Stoop OccasionallyKneel, Duration 30 sec OccasionallySquat OccasionallyBalance OccasionallyCrawl, Distance Not at allTwist OccasionallyClimb, Height OccasionallyKeyboarding/Mousing OccasionallyReach above shoulder level OccasionallyPhysical Demand Employee's job requires he/she carry and lift loads from the floor, from 12 inches from the floor, to shoulder height and overhead. Employee's job requires a pushing/pulling force to move a load (not the weight of the load).Physical Demand Classification: Carrying/lifting weight and pushing/pulling force: Medium Occasionally 50 lbs. Frequently 25 lbs. Constantly 10 lbs.Sensory Requirements Yes/No Explanation (if Yes)Speech Need to continuously communicate with patients and co-workers.Vision (VDT) Need to accurately measure intake and output; work with multiple tubes, drains, monitoring equipment, etc. Must be able to visually assess patients, including color recognition.Hearing Need to continuously hear instructions from co-workers, physicians, and requests from patients. Need to hear BP and monitor alarms, assess by auscultation.Smell Checking for odors related to infections Checking for odors related to infectionsEnvironmental Factors Yes/No Explanation (if Yes)Working on unprotected heights NoBeing around moving machinery Yes Pheresis equipment Exposure to marked changes in temperature and humidity No Driving automotive equipment No Wearing personal protective equipment Yes Exposure to blood/body substances and other chemicals Exposure to atmospheric conditions (i.e. fumes, dust, odors, mists, gases, or poor ventilation) Yes Potential chemical exposure Exposure to extreme noise or vibration No Exposure to blood, body fluids and waste Yes As Above. Exposure to radiation Yes X-rays Exposure to other hazards (i.e. mechanical, electrical, burns, or explosives) Yes Chemotherapy agentsEmotional/Psychological Factors Yes/No Explanation (if Yes)Stress: Exposed to stressful situations Dealing with patients, families and others who may be very upset. Has high accountability for tasks performed