Staff RN-Med/Surg-Critical Care-Observation Unit

GENERAL SUMMARY

Responsible for meeting patient priority needs by assessing, participating in interdisciplinary care planning, providing and/or delegating care, and evaluating patient responses and progress toward clinical outcomes. Contributes to an efficient and effective work environment through professional communication and documentation, precepting, and/or resourcing of others.

Supervises Licensed Practical Nurses and/or other support staff in the delivery of patient care as described in Nebraska Statute 38.

PRINCIPAL JOB FUNCTIONS

1. Commits to the mission, vision, beliefs and consistently demonstrates core values.
2. Initiates assessment and reassessment based on the patient’s presenting problems/needs in accordance with Bryan Medical Center procedures.
3. Synthesizes relevant initial and ongoing patient data to identify nursing priorities and desired outcomes/goals.
4. Integrates appropriate standards of care into the patient’s plan based on diagnosis and patient‑specific needs.
5. Executes therapeutic and/or supportive interventions.
6. Provides education for the patient and family to meet identified needs according to abilities, preferences and readiness to learn.
7. Evaluates the patient’s response to and effectiveness of interventions.
8. Assesses patient progress toward established outcomes.
9. Incorporates cultural considerations into the plan and delivery of care.
10. Includes family, significant other, or identified support person in the care of the patient as appropriate.
11. Documents patient care and related information according to Bryan Medical Center documentation procedures.
12. Provides care in collaboration with other interdisciplinary team members.
13. Facilitates patient transition to the next level of care.
14. Assumes responsibility in a shared or delegated assignment and supports team members’ practices through timely communication.
15. Serves as a role model to colleagues, students, and other care providers.
16. Actively participates in continued learning opportunities and self‑development relevant to the unit and duties.
17. Integrates evidence‑based research findings into practice in accordance with policy and procedure.
18. Engages in departmental and organizational performance improvement initiatives.
19. Appropriately utilizes all safety equipment as defined by organizational procedures.
20. Maintains professional growth through seminars, workshops, and professional affiliations.
21. Participates in meetings, committees, and department projects as assigned.
22. Performs other related projects and duties as assigned.

ADDITIONAL JOB FUNCTIONS

• Provides documentation and care support to a diverse patient population across inpatient units.
• Evaluates and documents patient responses to nursing interventions, adjusting the plan as needed.
• Supports the direct patient care team through video monitoring and documentation.
• Collaborates on patient assessments with bedside nurses and completes documentation.
• Establishes effective communication plans with bedside nurses and support staff regarding changes in patient condition.
• Utilizes appropriate nursing diagnoses and assessment data to set realistic outcomes.
• Documents measurable goals on the plan of care and modifies the plan when indicated.
• Follows the organization’s chain of command in appropriate circumstances.
• Collaborates with all healthcare team members, including providers, when planning patient care and documents accordingly.
• Demonstrates effective interpersonal skills within the interdisciplinary team.
• Completes the admissions navigation process for scheduled, unscheduled, or direct patient admissions on patient care units and the Emergency Department.
• Supports the patient discharge process, finalizing orders and medications, scheduling follow‑up appointments, and providing discharge teaching.
• Assesses patient/family readiness for discharge planning and makes appropriate referrals.
• Monitors medication administration for safety and performs dual sign‑off when appropriate.
• Implements and documents nursing interventions consistent with the plan of care.
• Effectively manages multiple responsibilities, prioritization, urgent responses, and challenging situations.
• Provides documentation and support for safety and quality initiatives.
• Demonstrates proficiency with monitoring technology and Epic EMR.
• Reports to manager from the primary unit of employment in collaboration with Virtual Patient Care Services leadership.
• Assists with or performs other duties as the Virtual Nursing platform evolves.

EDUCATION AND EXPERIENCE

Current Registered Nurse licensure from the State of Nebraska or an approved compact state of residence as defined by the Nebraska Nurse Practice Act. Must provide evidence of certification and/or instruction for the practice area as required by state or federal regulations.

OTHER CREDENTIALS / CERTIFICATIONS

Basic Life Support (CPR) certification is required. Bryan Health recognizes certifications from the American Heart Association, American Red Cross, and the Military Training Network.

NOTE: See Staff RN – Addendum A for additional credentials and certifications required for the practice area.

PHYSICAL REQUIREMENTS

(Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the principal job functions.)

(DOT) – Characterized as medium work requiring exertion of 35 to 50 pounds of force occasionally, 10 to 35 pounds of force frequently, or up to 10 pounds of force constantly to move objects.