Registered Nurse - IV Team - 32 Hours/Week - Evenings

Why work for Nebraska Methodist Health System?
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Responsibilities:

Essential Functions

1. Provide appropriate care specific to the age of the customer/patient, to ensure understanding and comfort level of treatment as outlined in the Population Specific Criteria.

• Demonstrate ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.

2. Perform an initial and ongoing assessment to determine the assigned patient's ongoing nursing care needs.

• Include data from the patient/significant other(s) in the assessment as appropriate.
• Prioritize data collection according to patient's immediate needs.
• Use assessment findings in discharge planning.

3. Develop/review/revise and individualize the plan of care to address the patient's nursing care needs for optimum patient care outcomes. (Consultation and resources, nurses as teachers.)

• Collaborate with providers and other clinical disciplines as appropriate.
• Provide teaching specific to the patient's health care problem.
• Care plan reflects continuing care needs and/or referrals for discharge/transfer.

4. Implement interventions that are consistent with the established plan of care in a safe and appropriate manner (Professional Models of Care).

• Is familiar with, and follows, nursing protocols and standards of care for their unit.
• Use current knowledge in nursing practice based on standards and research literature.

5. Evaluate patient care to determine response to care/interventions for optimal patient outcome.

• Monitor outcomes and documents patient response to interventions.
• Evaluate the patient's capabilities and/or limitations related to nursing and medical interventions.
• Continually monitors the patient and/or significant other(s) ability to manage care needs after dismissal.
• Give a complete verbal or written change of shift report to the oncoming care provider. Includes current care requirements, to include SBAR (situation, background, assessment and recommendation) content, and is familiar with the overall plan of care.
• Recognize and address patient and family capabilities and limitations (physical and mental).

6. Perform technical skills competently and independently to assure patient safety (autonomy).

• Able to competently perform technical skills independently.
• Is accountable to learn new skills and equipment within areas' specifications and time frame.
• Demonstrate correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals.
• Follow appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.

7. Maintain a professional behavior in attitude, demeanor, interactions to achieve organization's mission. (Quality Improvement, Image of Nursing, Interdisciplinary Relationships, Professional Development, community and the healthcare organization.)

• Communicate effectively to solve problems at the personal and unit level.
• Is approachable and professional in working with other health professionals, ancillary staff, patients and family.
• Take pride in the unit by active participation in restocking and maintaining a clean environment.
• Maintain a professional appearance, behavior, and work environment.
• Maintain competence in area of experience.
• Participate in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.

8. Initiate action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (e.g., falls, needle sticks, patient concerns). (Quality of Care)

• Complete appropriate report form for any risk (e.g., variance/incident report, patient concern report, maintenance request).
• Communicate to appropriate personnel regarding unresolved issues.
• Work within the scope of practice as defined by State Nurse Practice Act.
• Observes appropriate precautions when administering hazardous medications or handling excreta from patients who have received hazardous medications.

9. Review, delegate and evaluate plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state's Nurse Practice Act and the Professional Standards of Practice.

• Right task (within the scope of practice, according to the job description, based on the desired outcome, task routine, non-complex, low risk and predictable outcome).
• Right person (assess competency by: certification/licensure, job description, skills checklist, 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).

10. Fiscally accountable.

• Act professionally responsible for human and other resources.
• Charge accurately for use of supplies and equipment according to policy.

11. Performs venipunctures for intravenous infusions and blood transfusions.

• Consistently complies with Standard Precautions while performing venipunctures.
• Consistently uses aseptic technique while performing venipunctures.
• Consistently documents accurately in patient record.
• Consistently adjusts patient care plan to reflect current status of IV Therapy.
• Actions taken are consistent with protocol.

12. Performs an ongoing assessment of assigned patients' IV sites and initiates interventions based on the assessments.

• Consistently performs assigned daily floor checks to assess sites and accumulate 96 hour restarts due.
• Consistently restarts all IVs at 96 hours based on assessment of patient situation.
• Consistently restarts, redresses or discontinues IVs based on assessments on rounds.
• Consistently documents on floor check sheets problem sites for further follow up.
• Actions taken are consistent with protocol.

13. Performs outpatient blood specimen collections from central venous access devices

• Consistently accesses central venous access devices (Groshong's, Hickman's, implanted ports) for blood specimen collection in lab and Outpatient Oncology.
• Maintains current knowledge of different devices and recommended flush protocols.

14. Performs dressing changes for Central Venous, arterial and intra-aortic catheter sites.

• Consistently performs dressing changes day after insertion and then every week
• Consistently practices sterile technique with dressing changes.
• Consistently documents procedure and assessment of site in progress notes of patient record, and patient dressing change sheet.
• Actions taken are consistent with protocol.

15. Assists physicians with Central Venous catheter insertions.

• Consistently obtains supplies needed for insertion based on patient need and physician preference.
• Reinforces physician's explanation to patient and prepares patient for procedure.
• Assists physician by handing supplies.
• Consistently documents procedure in patient record, and adjusts the patient care plan.

16. Assesses implanted ports for intravenous therapy and blood transfusions.

• Consistently performs using sterile technique.
• Consistently documents in patient record and care plan to include proper flushing protocol.
• Actions taken are consistent with protocol.

17. Provides educational opportunities in intravenous therapies.

• Preceptor for RNs and student nurses on 1:1 ratio to provide actual skills training of IV therapy.
• Provides in-service to staff regarding all aspects of IV therapy.

18. Maintains current knowledge of clinical nursing practice and hospital related policies/procedures/practices.

• Obtains contact hours of continuing educational offerings.
• Attends monthly staff meetings on regular basis.
• Completes mandatory educational reviews.
• Maintains current Basic Life Support certification.

Schedule:

32 hours per week, 3p-1130p shift. 4 shifts per week. Every 3rd weekend and holiday rotation.

Job Description:

Job Requirements

Education

• Bachelor of Science in Nursing (BSN) from an accredited school of nursing required OR obtained within 5 years from date of hire.
• Successful completion of annual mandatory education requirements.

Experience

• Requires 3-6 months on-the-job training in order to learn proper techniques and special equipment.
• Experience in venipuncture preferred.

License/Certifications

• Current valid Nebraska Registered Nurse (RN) License, valid compact multistate license, 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.
• Certification(s) in area of specialty preferred.
• From National Certification Corporation (NCC) within 1 year of eligibility.
• Certified Registered Nurse Infusion (CRNI) preferred.

Skills/Knowledge/Abilities

• Strong interpersonal skills necessary to effectively communicate and interact 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 that are required for department and hospital information system.

Physical Requirements

Weight Demands

• Medium Work - Exerting up to 50 pounds of force.

Physical Activity

• 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%):
  • 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 causes 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 causes 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 air born and blood born viruses) (Jobs with Patient contact) (BBF)
  • Mechanical moving parts/vibrations

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

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.