Hospital/Emergency RN

Visit rosebudhcc.org or contact Human Resources at 406-346-4259 for more information.

In this position, the Registered Nurse provides primary nursing care to patients served by Rosebud Health Care Center in accordance with current federal, state and local standards governing acute care facilities. The Registered Nurse, through care, counseling and curative measures, is responsible for ensuring that the patient has adequate information to make health decisions, coordination of total care and assisting the patient in reaching the ultimate goal of self-care in order to support health, life, and the quality of life. ESSENTIAL DUTIES & RESPONSIBILITIES:

1. Provide nursing care in compliance with the Montana Nurse Practice Act.

2. Conduct the daily primary nursing care of patient admitted to and cared for in the hospital, including ICU and the ER.

3.Implement the nursing process for patient care, which includes assessment, diagnoses, planning, implementation, and evaluation of the patient’s response to the nursing care plan.

4. Provide compassionate patient care in a safe environment.

5. Carry out hospital and ER admissions, discharges, and transfer of patients, with and without business office personnel.

6. Review, transcribe, and implement all physician orders. Perform daily chart checks to minimize transcription errors, missed orders, etc.

7. Provide education and teaching to patients regarding their illness, injury, condition, medications, treatments and home care. Document same.

8. Accurately prepare and administer medications and treatments, and document same. This includes oral medications, subcutaneous, intramuscular, intradermal injections, and intravenous therapy. Monitor current supply of medications and contact consulting pharmacist regarding needed medications.

9. Consistently counts and administers narcotics/controlled substances per hospital policy.

10. Supervise unlicensed assistive personnel. Provide appropriate patient care assignments to UAPs.

11. Schedule procedures (such as lesion removals, sigmoidoscopy, etc.) and assist physicians with procedures.

12. Observe all established procedures and policies. Assist with updating nursing policy and procedure manual. Annually review Policy and Procedure manual.

13. Assist in orienting new RNs and notify Director of Nursing of any issues.

14. Supervise and assist with orientation of new personnel to the hospital. Notify Director of Nursing of any issues.

15. Complete necessary documentation, including nurses’ notes (including nursing assessments, medications and treatments, and patient activities of daily living for the shift), note physician orders, admission nursing assessment, teaching record, discharge planning, care plan, and discharge instructions. For Emergency Room: nursing assessment, care and treatment received, and discharge instructions.

16. Restock supplies used on the hospital floor and emergency department.

17. Complete ACLS and CPR certification every two years, with PALS and TNCC recommended. Completion of a basic rhythm recognition course is strongly encouraged within 3 months of hire. Attend monthly nurses’ meetings and mandatory in-services.

18. Answer facility phone when business office is closed.

19. Maintain patient confidentiality, including safeguarding the medical record.

20. Consistently gives report to on-coming nurse in a timely, accurate, and concise manner. Ensure CNAs know pertinent information to safely care for patients.

21. Notifies provider of changes in patient condition, medication errors, medications not available, abnormal labs/radiology results, and any other unusual observations.

22. Recognize signs and symptoms of abuse. Knowledgeable of abuse policy and reporting procedure. Initiate investigation of possible abuse and implement appropriate action with staff as necessary to protect the patient. Notify Director of Nursing as soon as possible if abuse is suspected.

23. Independently intervene in other situations that may affect patient safety and implement appropriate action with staff as stated above.

24. Attempt to replace call-ins of RNs and CNAs. The employee will demonstrate the ability to: manage time, maintain a safe and clean

Education & Experience Requirements:

RN License

Work Schedule:

Varied

Compensation Range:

$35,000 – $50,000

Benefits:

Health, Dental and Vision Insurance; 401K with Company matiching. Paid Time Off and Extended Illness Benefits; Flexible Schedule.

[Apply Now](https://www.rosebudhcc.org)