GENERAL SUMMARY:

Responsible for identifying patient needs and priorities for care through assessment, planning for and delegating care based on patients needs, executing therapeutic physician-and nurse-initiated interventions, and evaluating the patient's response to care and progress toward outcomes. Whenever possible, includes the family or significant others in the plan of care of the patient. Coordinates care and communicates essential information between other professional disciplines as needed and uses available resources and innovative strategies to provide care. Empowers the patient and/or significant others to make informed changes in health related behaviors. Responsible for the promotion of primary, secondary and tertiary prevention.

PRINCIPAL JOB FUNCTIONS:

1. *Commits to the mission, vision, beliefs and consistently demonstrates our core values.

2. *Initiates assessment based on the patient's presenting problems or needs and the physician's medical diagnosis by collecting key information from patient, family, and medical reports.

3. *Determines nursing diagnosis and priorities for care with special consideration given to patient teaching, goal setting, psychosocial well-being, and functional status.

4. *Assesses tolerance of activity levels, collaborates with other team members and makes recommendations/referrals regarding appropriateness of return to work or ADL's.

5. *Assesses and applies interpretation of diagnostic/monitoring data to the plan of care.

6. *Completes and updates individual treatment plans and ongoing assessments according to regulatory guidelines and GIRMC policy and/or as determined by patient condition. Continues to update nursing diagnoses/patient problems.

7. *Re-prioritizes care and sets new goals based on new information.

8. *Involves family and/or significant individuals in assessment activities.

9. *Documents appropriately in monitoring system and Electronic Medical Record (EMR) and is able to troubleshoot problems that arise.

10. *Appropriately interacts with patients/families from a variety of developmental and sociocultural backgrounds; seeks interpreter assistance as appropriate.

11. *Provides information to patients and families, reducing anxiety and conveying an attitude of acceptance, sensitivity and caring.

12. *Initiates communication with health care team members regarding treatment planning; informs appropriate health care team members (including physicians) of patient's condition/rehab status.

13. *Completes clinical/non-clinical assignments based on departmental workload and the qualifications and competencies of self and other staff members.

14. *Collaborates with staff and appropriate resource person(s) to formulate and update treatment plans and to work toward positive outcomes.

15. *Provides education to patients and significant others regarding disease entities, risk factor management and behavior modification and promotes primary, secondary, and tertiary prevention in individual and group settings.

16. *Provides assistance in related program functions such as Pulmonary Rehabilitation and Enhanced External Counterpulsation.

EDUCATION AND EXPERIENCE:

Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Minimum of one (1) year critical care experience required. Three (3) years of Cardiac Critical Care experience preferred.

OTHER CREDENTIALS / CERTIFICATIONS:

Basic Life Support (CPR) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network.

Advanced Cardiac Life Support (ACLS) certification required.

PHYSICAL REQUIREMENTS:

(DOT) - Characterized as medium work requiring exertion of 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or a greater than negligible up to 10 pounds of force constantly to move objects.