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Registered Nurse RN - Med/Surg

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Union Status

MNA

Job Summary

Provides professional nursing care to patients.
  • Calculates and adjusts IV infusion flow rate, including monitoring and discontinuing infusion:
  • Monitors infusion equipment
  • Change administration set, including add-on device and tubing
  • Observe and report subjective and objective signs of adverse reactions to any IV administration and initiate appropriate nursing interventions
  • Monitors access site and perform site care and maintenance
  • Performs of intermittent flushes for line patency.
  • Able to perform conversion of a continuous infusion to an intermittent infusion
  • Able to perform insertion or remove a peripheral venous, removal of central or midline catheters and accessing and de-accessing of a portacath
  • Initiates and administers IV medications and fluids via push or bolus.
  • Administer, monitor and discontinue parenteral nutrition, fat emulsion solutions.
  • Administer and discontinue blood, blood components, or plasma volume expanders  
  • Administer insulin drip.
  • Ability to administer IV medications per a PCA pump
  • Familiar with the use and care of Alaris Pumps and Guardrails.
  • Able to assess/reassess nursing care needs by age group.
  • Develops age appropriate plan of care in collaboration with patient, family and health care team.
  • Provides age appropriate teaching to patients and family and members of the healthcare team.
  • Demonstrates operational knowledge of equipment.
  • Accurately documents in a timely manner all components of the nursing process & meeting documentation requirements of the regulating bodies.
  • Ability to access, manage and update patient medical records through Hospital Electronic Medical Record Information System.
  • Explains procedures and treatments to patient to gain cooperation, understanding and allay apprehension.
  • Demonstrates proficiency in administration of medication and treatments following all regulatory requirements.
  • Aids Physician during treatment and examination of patient
  • Maintains awareness of comfort and safety needs of patient.
  • Reports pertinent observations and patient reactions as specific to age to the appropriate person in a timely manner.
  • Follows National Patient Safety Goals.
  • Effectively acknowledges, coordinates and implements diagnostic and therapeutic orders.
  • Demonstrates proficiency in selection, application and monitoring of patient restraints, utilizing least restrictive method.
  • Demonstrates proficiency in application of modalities to alleviate pain.
  • Demonstrates proficiency in epidural catheter management and symptom control
  • Demonstrates behaviors consistent with organizational mission and goals.
  • Demonstrates competent nursing clinical skills and knowledge when performing, teaching, and supervising nursing procedures.
  • Establishes priorities in planning and organizing patient care based on nursing assessment and patient/family needs in collaboration with health care team.
  • Implements nursing care interventions based on patient/family needs and circumstantial/procedural complexities.
  • Demonstrates skill in supervision and delegation of patient care activities.
  • Carries out nursing process (assessment, planning, intervention and evaluation of patient care).
  • Completes routine monitoring of patients to detect derivation from normal and accepts responsibility and accountability for the quality of nursing care rendered.
  • Identifies and responds to life threatening situations.
  • Is knowledgeable of and follows National Patient Safety Goals while providing care.
  • Follows all applicable hospital policies and procedures.
  • Participates in facility Quality Improvement/ORP Program
  • Follows policies and procedures for infection control and facility safety in accordance with regulatory guidelines.
  • Follows "Patients Rights Policy" at all times.
  • Demonstrates knowledge of information management as appropriate.
The information above is for summary purposes, and is not intended to be a comprehensive list of essential functions.

Education and/or Experience

  • ASN
  • BSN Preferred

Certificates, Licenses, Registrations

  • Current MT RN Licensure
  • BLS
  • ACLS within 6 months of hire
Organization: St. James Healthcare, Butte, MT
Primary Location: MT-Butte
Department: SJB-MS1-Med/Surg-Unit
Schedule: Full-time
Shift: Night Shift
FTE: .9
Job Number: 17010055
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