Registered Nurse - Omaha Tribe of Nebraska

The position will provide direct nursing care to residents who are sick, injured, convalescent, or disabled. Under general supervision, they will deliver care to patients utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation, in accordance with established philosophy. Nurses collaborate with other professional disciplines to ensure effective patient care delivery and achievement of desired patient outcomes. They must effectively interact with patients and significant others while maintaining the standard of professional nursing. Their focus will be on maximizing patients' functional abilities, as well as promoting, maintaining, and restoring their physical and mental health in an intermediate nursing facility setting. Such supervision must be in accordance with current federal, state, and local standards, guidelines, and regulations that govern the facility, and as may be required by the Director of Nursing to ensure that the highest degree of quality care is maintained at all times.

ESSENTIAL DUTIES and/or RESPONSIBILITIESinclude the following:

• Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans and directs Certified Medication Managers and Certified Nursing Assistants in duties.
• Prepares and administers (orally, subcutaneously) and records prescribed medications. Reports adverse reactions to medications or treatments in accordance with the policy regarding the administration of medications by a licensed registered nurse
• Records patients' medical information and vital signs
• Assesses the patients' ability to do routine daily tasks
• Assists patients with such basic needs as dressing, eating, and bathing, and encourages patients to do things for themselves to retain feelings of independence and self-esteem
• Recognizes and manages syndromes common to older adults, including: cardiovascular, respiratory, gastrointestinal, urinary, hematological, musculoskeletal, endocrine, neurological, psychiatric/psychosocial, integumentary, sensory and pain problems
• Prepares equipment and aids physician during examination and treatment of patient
• Facilitates older adults' active participation in all aspects of their own health care
• Involves, educates, and when appropriate, supervises family/significant others in implementing best practices for older adults
• Promotes the desirability of quality end-of-life care for older adults
• Records all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms
• Completes required orientation as directed by facility
• Follows facility and safety rules and procedures while on assignment
• Follows facility Nursing Policy and Procedure Manual
• Respects cultural and religious practices of residents
• Upholds HIPAA regulations
• Punctual and dependent for assigned/confirmed shifts
• Performs other position-related duties as assigned, depending on assignment setting and scope of practice per State and/or Federal guidance related to license held.

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the duties.

EDUCATION and/or EXPERIENCE:

• Graduate of an accredited nursing program
• Minimum of one (1) year LTC experience or ability to train on site with positive clinical reference.

PHYSICAL REQUIREMENTS:

• Ability to lift twenty (20) pounds. Moving, lifting or transferring of patients may involve lifting of up to fifty (50) pounds, as well as assist with weights of more than one-hundred (100) pounds.
• Ability to stand for extended periods
• Fine motor skills
• Visual acuity

WORK CONDITIONS: Because patients need round-the-clock care, working hours include days, nights, weekends and holidays. The number of patients assigned per shift will vary with facility and specialty, if applicable. Nurses spend considerable time walking, bending, stretching and standing; they assist in patient transfers. Nurses must guard against back injury because they may have to assist CNAs in patient lifts and transfers; they must follow proper body mechanics and procedures for lifting/moving patients. Nurses may face hazards from exposure to chemicals and infectious diseases. In addition, the population cared for will contain patients that are confused, irrational, agitated, or uncooperative, from diagnoses, such as Alzheimer's.

CERTIFICATES, LICENSES, and/or REGISTRATIONS:

• Current nursing license, in good standing with the State licensing board
• Federal-, State- credentials current and on file (within approved timeframe): For example, current CPR, CMS COVID Prevention, Mandatory Reporter for vulnerable adults certificates of completion.
• Valid Driver's License preferred, and insurable under insurance guidelines.