38 jobs found in Cheyenne

ROLE SUMMARY The Registered Nurse assesses, plans, implements, evaluates and supervises individual patient care according to unit policies and procedures. Accepts responsibility for direction of co-workers in the implementation of care plans. May be required to work on other units according to distribution of staff and patients. CORE RESPONSIBILITIES Completes nursing assessment of patient and documents appropriately into patient chart. Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately. Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards. Documents training and competencies in electronic format. DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES ARU: Attends family conferences, patient care Conferences, and daily stand up meetings. CARE CLINIC, SAME DAY SURGERY, and PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice. CHARGE NURSE: Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes. Facilitates immediate and direct complaint intervention and resolution. Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system. Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes. Assists in the identification and management of staff, patient, and family educational needs. Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions. Possess the authority to send employees home in the interest of safe patient care. CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods. FORENSIC NURSING: Provides timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follows established forensic nursing protocols. Triages and assesses patients, provides prophylaxis for pregnancy and STI’s, coordinates medical and psychological care, provides advocacy, community resource and law enforcement referrals. Performs complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintains forensic nursing competences and participate in quality assurance projects, community education and peer review. HOSPICE: Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role. Attends the first available hospice volunteer training after acceptance of employment. HOSPITALIST: Integrates health care for clients from pre-admission to post-discharge. The nurse functions in structured and unstructured health care settings. The nurse utilizes independent nursing judgment when integrating health care. Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients. MEDICAL IMAGING: Procedural Nurse: Provides IV moderate sedation and pain relief. Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes. May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy. RESOURCE POOL: Floats within designated pod and clinical specialty. VASCULAR ACCESS NURSE: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrates effective leadership and professional skills according to Standards of Care Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes MINIMUM HIRING REQUIREMENTS Associate’s degree or higher from an accredited school of nursing Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool REQUIREMENTS TO BE COMPLETED ONCE HIRED: Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation. Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit. Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS, CPAN within 2 years, minimum of six months critical care experience PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within 6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Same Day Surgery – CAPA within 2 years, AHA ACLS within 1 year of hire. Telemetry – AHA ACLS within 1 year of hire PREFERRED QUALIFICATIONS Bachelor’s degree or higher from an accredited school of nursing

ROLE SUMMARY The Registered Nurse assesses, plans, implements, evaluates and supervises individual patient care according to unit policies and procedures. Accepts responsibility for direction of co-workers in the implementation of care plans. May be required to work on other units according to distribution of staff and patients. CORE RESPONSIBILITIES Completes nursing assessment of patient and documents appropriately into patient chart. Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately. Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards. Documents training and competencies in electronic format. DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES ARU: Attends family conferences, patient care Conferences, and daily stand up meetings. CARE CLINIC, SAME DAY SURGERY, and PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice. CHARGE NURSE: Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes. Facilitates immediate and direct complaint intervention and resolution. Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system. Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes. Assists in the identification and management of staff, patient, and family educational needs. Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions. Possess the authority to send employees home in the interest of safe patient care. CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods. FORENSIC NURSING: Provides timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follows established forensic nursing protocols. Triages and assesses patients, provides prophylaxis for pregnancy and STI’s, coordinates medical and psychological care, provides advocacy, community resource and law enforcement referrals. Performs complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintains forensic nursing competences and participate in quality assurance projects, community education and peer review. HOSPICE: Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role. Attends the first available hospice volunteer training after acceptance of employment. HOSPITALIST: Integrates health care for clients from pre-admission to post-discharge. The nurse functions in structured and unstructured health care settings. The nurse utilizes independent nursing judgment when integrating health care. Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients. MEDICAL IMAGING: Procedural Nurse: Provides IV moderate sedation and pain relief. Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes. May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy. RESOURCE POOL: Floats within designated pod and clinical specialty. VASCULAR ACCESS NURSE: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrates effective leadership and professional skills according to Standards of Care Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes MINIMUM HIRING REQUIREMENTS Associate’s degree or higher from an accredited school of nursing Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool REQUIREMENTS TO BE COMPLETED ONCE HIRED: Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation. Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit. Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS, CPAN within 2 years, minimum of six months critical care experience PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within 6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Same Day Surgery – CAPA within 2 years, AHA ACLS within 1 year of hire. Telemetry – AHA ACLS within 1 year of hire PREFERRED QUALIFICATIONS Bachelor’s degree or higher from an accredited school of nursing

ROLE SUMMARY Works under the direct supervision of a registered nurse or other professional, offers compassionate care to all patients based on age-specific needs/expected outcomes, placing an emphasis on high quality, comprehensive treatment, by means of an interdisciplinary team and using a holistic approach. Provides personal care, homemaking, emotional, social and spiritual support to patients and families – regardless of race, age, sex, religion, handicap or ability to pay during all phases of illness and bereavement. CORE RESPONSIBILITIES Assists patient with personal care. Assists patient with transferring and ambulation. Assists patient with prescribed exercises and simple procedures which have been taught by appropriate professional personnel. Performs homemaking services which are essential to the patient’s care at home. Assists in maintaining a safe environment for the patient. Use safety and patient care equipment appropriately. Reinforce the safe use of equipment to the patient. Uses proper body mechanics when providing patient care/homemaking services. Use universal precautions in providing services. Recognize limitations and seek assistance as needed. Observes patient condition and immediately communicate changes/concerns. Records care given and pertinent changes in the patient’s condition on the Aide Flow Sheet. ROLE SPECIFIC RESPONSIBILITIES HOME CARE SCHEDULER: Schedules initial and continuous visits for intermittent and hourly programs across various disciplines. Abides by CMS rules and regulations to schedule supervisory visits for appropriate disciplines. Works closely with Intake RN and Billing specialist to ensure that visits are appropriately scheduled in accordance with payor preauthorization, CMS rules and provider orders. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Ability to interact positively with patients, patient’s families and staff so as to promote positive patient care Ability to be flexible with department needs. Communicates pertinent information to appropriate persons Ability to demonstrate sufficient dexterity to provide patient care. Ability to speak clearly for patient communication Ability to operate motor vehicle is necessary Must have available reliable transportation to and from assignments Must provide proof of insurance for personal vehicle used for transportation MINIMUM REQUIREMENTS High school diploma or GED Minimum of a current Wyoming Certified Nursing Assistant license upon start date AHA BLS Valid USA driver’s license Must have clean driving record that follows Cheyenne Regional Medical Center’s driving guidelines REQUIREMENTS AFTER START Additional home health / hospice training within 30 days of start date PREFERRED QUALIFICATIONS 1 year experience

ROLE SUMMARY Provides basic patient care under the direct supervision of a Registered Nurse. Assesses, plans, implements and evaluates individual patient care within the scope of his/her training and experience. CORE RESPONSIBILITIES Provides direct patient care including but not limited to assistance with bathing, eating, dressing, and walking patients. Keeps record of care given. Takes vital signs (temperature, blood pressure, pulse, and respiratory rate) when appropriate. Turns and repositions bedridden patients to prevent breakdown of their skin. Changes bed linens as necessary. Transports patients and equipment as needed within the facility. Monitors patients and reports any variances to the RN for further assessment. May monitor unit camera as needed and notify staff of patient activity. Works collaboratively with the RN in charge to meet physicians, coworkers, management and other department needs. May provide unit support as needed, which may include answering and relaying patient calls, accepting and relaying other communications, transcribing physician orders, performing clerical tasks, completing and maintaining reports and records, or ordering supplies. Completes mandatory education and contact education requirements including 12 CEUs per year. I understand that it is not within my scope of practice to handle any medications that I might inadvertently come in contact with, including medications delivered in the pneumatic tube system. If I do come in contact with medications I know to alert a licensed employee for them to handle. ROLE SPECIFIC RESPONSIBILITIES CNA/SITTER: Assigned to provide 1:1 observation for patient safety. Receives report from primary nurses, including reason(s) for requiring additional observation, appropriate interventions, ADLS for the shift, and any other pertinent information relevant to the care of the patient. DEPARTMENT SPECIFIC RESPONSIBILITIES: HOSPITALIST: Makes follow-up appointments for patients. Responsible for prior authorization paperwork under the direction of physicians and RNs. SAME DAY SURGERY: Applies SCD’s, toilets, stocks block carts, rooms, turn over rooms, oxygen tank management, and other department needs to assist in patient care and throughput. PACU: Applies SCD’s, measure I&O’s, event patients in and out of Pre-op/PACU in EPIC, form management, transporting patients throughout hospital, stock department and blanket warmer, orders supplies, inputs work orders, bay turnover, oxygen tank management, and other department needs to assist in patient care and throughput. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrated knowledge of medical terminology Demonstrate an independent work initiative, sound judgment and attention to detail MINIMUM REQUIREMENTS High school diploma (or Equivalent Certificate from an accredited program) or higher degree Minimum of a current Wyoming Certified Nursing Assistant license upon start date AHA BLS DEPARTMENT SPECIFIC MINIMUM REQUIREMENTS PACU: 6 months recent acute care CNA experience PREFERRED QUALIFICATIONS Prior acute care experience 6 months experience as a CNA

ROLE SUMMARY The Registered Nurse assesses, plans, implements, evaluates and supervises individual patient care according to unit policies and procedures. Accepts responsibility for direction of co-workers in the implementation of care plans. May be required to work on other units according to distribution of staff and patients. CORE RESPONSIBILITIES Completes nursing assessment of patient and documents appropriately into patient chart. Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately. Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards. Documents training and competencies in electronic format. DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES ARU: Attends family conferences, patient care Conferences, and daily stand up meetings. CARE CLINIC, SAME DAY SURGERY, and PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice. CHARGE NURSE: Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes. Facilitates immediate and direct complaint intervention and resolution. Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system. Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes. Assists in the identification and management of staff, patient, and family educational needs. Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions. Possess the authority to send employees home in the interest of safe patient care. CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods. FORENSIC NURSING: Provides timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follows established forensic nursing protocols. Triages and assesses patients, provides prophylaxis for pregnancy and STI’s, coordinates medical and psychological care, provides advocacy, community resource and law enforcement referrals. Performs complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintains forensic nursing competences and participate in quality assurance projects, community education and peer review. HOSPICE: Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role. Attends the first available hospice volunteer training after acceptance of employment. HOSPITALIST: Integrates health care for clients from pre-admission to post-discharge. The nurse functions in structured and unstructured health care settings. The nurse utilizes independent nursing judgment when integrating health care. Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients. MEDICAL IMAGING: Procedural Nurse: Provides IV moderate sedation and pain relief. Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes. May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy. RESOURCE POOL: Floats within designated pod and clinical specialty. VASCULAR ACCESS NURSE: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrates effective leadership and professional skills according to Standards of Care Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes MINIMUM HIRING REQUIREMENTS Associate’s degree or higher from an accredited school of nursing Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool REQUIREMENTS TO BE COMPLETED ONCE HIRED: Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation. Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit. Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS, CPAN within 2 years, minimum of six months critical care experience PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within 6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Same Day Surgery – CAPA within 2 years, AHA ACLS within 1 year of hire. Telemetry – AHA ACLS within 1 year of hire PREFERRED QUALIFICATIONS Bachelor’s degree or higher from an accredited school of nursing

ROLE SUMMARY The Registered Nurse assesses, plans, implements, evaluates and supervises individual patient care according to unit policies and procedures. Accepts responsibility for direction of co-workers in the implementation of care plans. May be required to work on other units according to distribution of staff and patients. CORE RESPONSIBILITIES Completes nursing assessment of patient and documents appropriately into patient chart. Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately. Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards. Documents training and competencies in electronic format. DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES CHARGE NURSE: Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes. Facilitates immediate and direct complaint intervention and resolution. Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system. Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes. Assists in the identification and management of staff, patient, and family educational needs. Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions. Possess the authority to send employees home in the interest of safe patient care. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrates effective leadership and professional skills according to Standards of Care. Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes. MINIMUM HIRING REQUIREMENTS Associate’s or Bachelor’s Degree from an accredited school of nursing Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date AHA BLS 6 months experience required REQUIREMENTS TO BE COMPLETED ONCE HIRED: Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation. Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit. Candidates must meet the following mandatory requirements for specialty units once hired: OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PREFERRED QUALIFICATIONS Bachelor’s degree from an accredited school of nursing Specialty certifications as preferred per department: AHA ACLS and CAPA for Same Day Surgery

ROLE SUMMARY Under the supervision of the Registered Nurse or Emergency Department Provider the Emergency Services Tech provides patient care and assists in performing assigned procedures within scope of training. CORE RESPONSIBILITIES 1. Responsible for performing assigned procedures including: electrocardiogram testing (EKG); wound cleansing and bandaging, vital sign measurements, specimen collection, intraosseus placement, bladder (Foley) catherization, and ultrasound intravenous placement. 2. Provide point of care testing including blood glucose, troponin, chem 8, and lactic acid. 3. Assist providers and nurses with patient exam and sterile procedures. 4. Perform fiberglass splints. 5. Provide training for orthopedic devices including crutch training, splint and sling care; perform orthopedic device care and cleaning. 6. Remove sutures and staples from wounds as directed. 7. Room patients and assist in monitoring condition; provides patient updates as warranted to appropriate healthcare provider. 8. Respond to traumas and codes to provide intubation assistance and compressions. 9. Responsible for cleaning and stocking supplies in patient rooms and department. 10. Document patient care and condition as appropriate. 11. Provide oxygen delivery including nasopharyngeal and oropharyngeal adjuncts. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES · Demonstrates knowledge of medical terminology · Demonstrates an independent work initiative, sound judgment and attention to detail · Strong critical thinking and problem solving skills · Ability to perform calculations · Excellent interpersonal and communication skills MINIMUM REQUIREMENTS · High school diploma or GED or Equivalent Certificate from an accredited program or higher · Wyoming EMT-B certificate, Wyoming A-EMT certificate, Wyoming EMT-I, or Wyoming Paramedic license · AHA BLS PREFERRED QUALIFICATIONS · National EMT certificate or National Paramedic license · Prior experience in patient care setting

ROLE SUMMARY Under the supervision of the center manager, the personal care attendant/CNA is responsible for providing various care services necessary for attending to the personal needs, support, and health status of participants. Provides transportation for the participants from their homes to the center and for appointments during the day, and for field trips as part of the activities program. Delivers in-home meals and provides delivery and pick-up of supplies and medications for participants. Cleans vehicles, check regularly for safety, and maintain scheduled maintenance. CORE RESPONSIBILITIES Participates as a member of the interdisciplinary team in ongoing participant assessment and monitoring. Reports on personal care services provided and the self-care abilities of participant, including changes noted in participant’s condition, as well as any issues noted when transporting the participants. Drives vehicles in a safe and responsible manner utilizing defensive driving skills following assigned routes. As part of the health care team, provides personal care assistance maintaining the independence of the participant to conduct activities of daily living, including toileting, showers, eating, and grooming. Assists in the maintenance of physical activity, exercise, and walking; including loading and unloading participants in and out of vehicles, assisting participants into and out of their homes. Transports participants to all requested appointments that have been arranged by the transportation coordinator or dispatcher. Coordinates scheduling of participant rides with the transportation coordinator or dispatcher. Provides nursing care as assigned in a safe manner, deliver in-home meals, supplies, and medications to participants. Responsible for participant safety, identifying safety hazards and emergency situations, and initiates corrective action as able; maintains safety and cleanliness of assigned vehicle and coordinate scheduling of van maintenance with transportation coordinator. Provides behavioral supervision or support for participants, such as reality orientation, reminder to follow through with nursing and medication instruction, diet restrictions, and emotional reassurance. Assists with general activities such as conversing with participants, recreation activities, meal and snack serving, and housekeeping; assists participants in their home environment with simple tasks when necessary, such as put on socks, shoes, jackets, etc. Assists in identifying signs and symptoms indicating physical, emotional, or behavioral change in participants and reporting these signs to the center staff and/or supervisor, including but not limited to, any changes in skin integrity, bowel and bladder status, food/fluid intake, or changes in ambulation. Maintains current written records, indicating ongoing documentation of services provided, reassessments of changing needs, and participant’s expressed wishes. Prepares and submits timely written reports as required. Participates in continuing education classes and maintain professional affiliations and any required certifications. Attends and participates in staff meetings, participant care planning, in-services, projects, and committees as assigned. Be flexible in schedule of hours worked; may also require use of personal vehicle. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Ability to read, write, and speak English. Knowledge of the principles and techniques involved in relating to frail elderly persons Effective oral and written skill in communicating with participants, their families, and other staff members; ability to establish a helping, trusting relationship with participants Demonstrates sensitivity to the needs of older adults as evidenced by a caring approach, patience in providing care, and responsiveness to participant requests Ability to follow directions, verbal and written instructions, and adapt work schedule under supervision Ability to follow through with instructions and directions provided by supervisor, RN, QAPI coordinator, primary care physician, and/or medical director Ability to utilize appropriate safety measures when providing care Ability to relate to the public and governmental agencies in a pleasant, patient, and professional manner Ability to work effectively and harmoniously as part of an interdisciplinary team, the elderly, providers of services, and peers in particular Function independently, have flexibility, and personal integrity. Well organized, dependable, flexible, and resourceful Computer skills required MINIMUM REQUIREMENTS High School Diploma or GED Minimum of a current Wyoming Certified Nursing Assistant license upon start date Minimum of two (2) years of documented experience working with a frail or elderly population AHA BLS Valid USA driver’s license Must have clean driving record that follows Cheyenne Regional Medical Center’s driving guidelines PREFERRED QUALIFICATIONS Experience in transporting individuals with special mobility needs Experience in a long-term care facility or with a community-based geriatric program

ROLE SUMMARY Responsible for the transportation of stable patient transfers following initial hospital assessments. In the Emergency Department, works under the supervision of the Registered Nurse or Emergency Department Provider to provide patient care and assist in performing assigned procedures within scope of training. CORE RESPONSIBILITIES During Transportation: 1. Transports stable patients to Cheyenne Regional facilities and within the facilities. 2. Responsible for safe driving and maintaining proper fuel levels. 3. Keeps vehicles clean and stocked at all times. 4. Works within specific certificate/license scope of practice outside of the facility. Inside the ER: 5. Responsible for performing assigned procedures including: electrocardiogram testing (EKG); wound cleansing and bandaging, vital sign measurements, specimen collection, intraosseus placement, bladder (Foley) catherization, and ultrasound intravenous placement. 6. Provides point of care testing including blood glucose, troponin, chem 8, and lactic acid. 7. Assists providers and nurses with patient exam and sterile procedures. 8. Performs fiberglass splints. 9. Provides training for orthopedic devices including crutch training, splint and sling care; perform orthopedic device care and cleaning. 10. Removes sutures and staples from wounds as directed. 11. Rooms patients and assists in monitoring condition; provides patient updates as warranted to appropriate healthcare provider. 12. Responds to traumas and codes to provide intubation assistance and compressions. 13. Responsible for cleaning and stocking supplies in patient rooms and department. 14. Documents patient care and condition as appropriate. 15. Provides oxygen delivery including nasopharyngeal and oropharyngeal adjuncts. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES · Demonstrates knowledge of medical terminology · Demonstrates an independent work initiative, sound judgment and attention to detail · Strong critical thinking and problem solving skills · Ability to perform calculations · Excellent interpersonal and communication skills MINIMUM REQUIREMENTS · High school diploma (or Equivalent Certificate from an accredited program) or higher degree · Wyoming EMT-B certificate, Wyoming A-EMT certificate, Wyoming EMT-I, or Wyoming Paramedic license · AHA BLS · Valid USA driver’s license · Must have clean driving record that follows Cheyenne Regional Medical Center’s driving guidelines PREFERRED QUALIFICATIONS · National EMT certificate or National Paramedic license · Prior experience in patient care setting · Successful completion of EOS driving test

ROLE SUMMARY Works under the direct supervision of a registered nurse or other professional, offers compassionate care to all patients based on age-specific needs/expected outcomes, placing an emphasis on high quality, comprehensive treatment, by means of an interdisciplinary team and using a holistic approach. Provides personal care, homemaking, emotional, social and spiritual support to patients and families – regardless of race, age, sex, religion, handicap or ability to pay during all phases of illness and bereavement. CORE RESPONSIBILITIES Assists patient with personal care. Assists patient with transferring and ambulation. Assists patient with prescribed exercises and simple procedures which have been taught by appropriate professional personnel. Performs homemaking services which are essential to the patient’s care at home. Assists in maintaining a safe environment for the patient. Use safety and patient care equipment appropriately. Reinforce the safe use of equipment to the patient. Uses proper body mechanics when providing patient care/homemaking services. Use universal precautions in providing services. Recognize limitations and seek assistance as needed. Observes patient condition and immediately communicate changes/concerns. Records care given and pertinent changes in the patient’s condition on the Aide Flow Sheet. ROLE SPECIFIC RESPONSIBILITIES HOME CARE SCHEDULER: Schedules initial and continuous visits for intermittent and hourly programs across various disciplines. Abides by CMS rules and regulations to schedule supervisory visits for appropriate disciplines. Works closely with Intake RN and Billing specialist to ensure that visits are appropriately scheduled in accordance with payor preauthorization, CMS rules and provider orders. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Ability to interact positively with patients, patient’s families and staff so as to promote positive patient care Ability to be flexible with department needs. Communicates pertinent information to appropriate persons Ability to demonstrate sufficient dexterity to provide patient care. Ability to speak clearly for patient communication Ability to operate motor vehicle is necessary MINIMUM REQUIREMENTS High school diploma or GED Minimum of a current Wyoming Certified Nursing Assistant license upon start date with additional home health / hospice training AHA BLS Valid USA driver’s license Must have clean driving record that follows Cheyenne Regional Medical Center’s driving guidelines PREFERRED QUALIFICATIONS 1 year experience

ROLE SUMMARY Under the supervision of the Registered Nurse or Emergency Department Provider the Emergency Services Tech provides patient care and assists in performing assigned procedures within scope of training. CORE RESPONSIBILITIES 1. Responsible for performing assigned procedures including: electrocardiogram testing (EKG); wound cleansing and bandaging, vital sign measurements, specimen collection, intraosseus placement, bladder (Foley) catherization, and ultrasound intravenous placement. 2. Provide point of care testing including blood glucose, troponin, chem 8, and lactic acid. 3. Assist providers and nurses with patient exam and sterile procedures. 4. Perform fiberglass splints. 5. Provide training for orthopedic devices including crutch training, splint and sling care; perform orthopedic device care and cleaning. 6. Remove sutures and staples from wounds as directed. 7. Room patients and assist in monitoring condition; provides patient updates as warranted to appropriate healthcare provider. 8. Respond to traumas and codes to provide intubation assistance and compressions. 9. Responsible for cleaning and stocking supplies in patient rooms and department. 10. Document patient care and condition as appropriate. 11. Provide oxygen delivery including nasopharyngeal and oropharyngeal adjuncts. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES · Demonstrates knowledge of medical terminology · Demonstrates an independent work initiative, sound judgment and attention to detail · Strong critical thinking and problem solving skills · Ability to perform calculations · Excellent interpersonal and communication skills MINIMUM REQUIREMENTS · High school diploma or GED or Equivalent Certificate from an accredited program or higher · Wyoming EMT-B certificate, Wyoming A-EMT certificate, Wyoming EMT-I, or Wyoming Paramedic license · AHA BLS PREFERRED QUALIFICATIONS · National EMT certificate or National Paramedic license · Prior experience in patient care setting

ROLE SUMMARY The Registered Nurse assesses, plans, implements, evaluates and supervises individual patient care according to unit policies and procedures. Accepts responsibility for direction of co-workers in the implementation of care plans. May be required to work on other units according to distribution of staff and patients. CORE RESPONSIBILITIES Completes nursing assessment of patient and documents appropriately into patient chart. Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately. Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards. Documents training and competencies in electronic format. DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES CHARGE NURSE: Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes. Facilitates immediate and direct complaint intervention and resolution. Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system. Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes. Assists in the identification and management of staff, patient, and family educational needs. Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions. Possess the authority to send employees home in the interest of safe patient care. ARU/TCU: Attends family conferences, patient care Conferences, and daily stand up meetings. CARE CLINIC, SAME DAY SURGERY, and PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice. CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods. FORENSIC NURSING: Provides timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follows established forensic nursing protocols. Triages and assesses patients, provides prophylaxis for pregnancy and STI’s, coordinates medical and psychological care, provides advocacy, community resource and law enforcement referrals. Performs complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintains forensic nursing competences and participate in quality assurance projects, community education and peer review. HOSPICE: Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role. Attends the first available hospice volunteer training after acceptance of employment. HOSPITALIST: Integrates health care for clients from pre-admission to post-discharge. The nurse functions in structured and unstructured health care settings. The nurse utilizes independent nursing judgment when integrating health care. Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients. MEDICAL IMAGING: Procedural Nurse: Provides IV moderate sedation and pain relief. Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes. May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy. VASCULAR ACCESS NURSE: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes. RESOURCE POOL: Floats within designated pod and clinical specialty. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrates effective leadership and professional skills according to Standards of Care. Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes. MINIMUM HIRING REQUIREMENTS Associate’s or Bachelor’s Degree from an accredited school of nursing Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool REQUIREMENTS TO BE COMPLETED ONCE HIRED: Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation. Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit. Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Telemetry – AHA ACLS within 1 year of hire PREFERRED QUALIFICATIONS Bachelor’s degree from an accredited school of nursing Specialty certifications as preferred per department: AHA ACLS and CAPA for Same Day Surgery CPAN for PACU Minimum of six months critical care experience for PACU

This position will focus on Quality Improvement Coordination but will also assist in Home Care Coordination as back up ROLE SUMMARY The QI coordinator is responsible for oversight of the PACE quality program and functions as chairman of the PACE Quality Improvement Committee. The QI Coordinator collaborates with the PACE Director and interdisciplinary team in the assessment, planning, implementation and evaluation of the performance improvement plan, orientation program, developmental/educational opportunities, monitoring, and assuring provision of necessary health care services and treatment for Wyoming PACE participants. This role is also responsible for the planning and monitoring of in-home services, oversight of the home care CNA’s, coordinating provision of home health care services and treatment for Wyoming PACE participants. CORE RESPONSIBILITIES Collaborate with the director to ensure that a Quality Management Program is developed to improve the overall quality of the PACE program and meet regulatory requirements. Identify quality improvement opportunities and develop an annual QI work plan May also be required to perform as back-up for the clinic nurse, i.e. assist with day-to-day clinic operations to ensure provision of high-quality care, including coordination with the interdisciplinary team when needed. Assist in providing administrative-call coverage and serve in other nursing roles as needed . Assure high quality participant care and strive toward outcomes for all participants as defined by goals established in the QI plan. Monitor quality indicators quarterly and provide feedback to the interdisciplinary team. Educate develop, and implement all quality improvement activities for the PACE Program. Ensure that each employee understands his or her role in the QI program and that they are aware of the results of QI activities, including upholding participant rights Audit completed QI studies to ensure completeness and accuracy of data used for outcome monitoring to staff, contractual providers, and the Board of Trustees P articipate as a member of the interdisciplinary team (IDT), including completion of required RN home care assessment and plan of care development. Provide back-up coverage for clinic RN as needed. Act as liaison with primary care provider in the event of an episodic illness; assist in coordinating services provided by primary care provider. Provide on-call coverage during center hours of non-operation as needed. Communicate with weekend and after-hours on-call staff, following up on issues as necessary. May require use of personal vehicle ROLE SPECIFIC RESPONSIBILITIES: Division of responsibilities will be split between Home Health and Quality roles based on supervisor’s discretion. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Management and leadership skills Ability to apply creative problem-solving skills to the complex issues with frail seniors Able to effectively prepare and maintain records Ability to react calmly and effectively in emergency situations Well organized, dependable, flexible, and resourceful Effective oral and written communication skills Computer skills required. Proficiency in Excel including graph creation highly desirable MINIMUM REQUIREMENTS Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date Associate’s or Bachelor’s Degree or higher from an accredited school of nursing AHA BLS Current Wyoming driver’s license and proof of automobile insurance that meets at least the minimum state mandated insurance requirements Minimum of three (2) years of RN health care experience Minimum of one (1) year of documented experience working with a frail or elderly population PREFERRED QUALIFICATIONS Bachelor’s Degree in Nursing Two (2) years of demonstrated experience in quality management Two (2) years of demonstrated experience in home care; home care supervision

ROLE SUMMARY Works under the supervision of the Director of Surgical Services or designee (OR Supervisor, RN Coordinator) . Assists surgical team before, during, and after surgery by performing the following duties. CORE RESPONSIBILITIES Identifies and selects the instruments and equipment necessary for surgical procedures. Maintains strict aseptic technique. Assists the surgeon during the operative procedure. Anticipates surgeon’s needs to expedite the procedure thereby minimizing the patient’s exposure to trauma. Properly maintains sterile instruments and adheres to proper sterilization techniques according to department policy. Uses the autoclave and Steris units. Monitors the sterile field for possible breaks in sterile technique. Maintains fiscal prudence when managing their sterile fields. Counts sponges, needles, and instruments before and after operation. Assists with room turnover and cleaning after each case. Restocks operating rooms as needed. Collaborates with and assists professional staff as needed. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Able to identify and select the instruments and equipment necessary for most surgical procedures and picks cases appropriately Knowledge of supplies, instruments, and equipment and when they are used in surgery Able to maintain strict aseptic MINIMUM REQUIREMENTS High school diploma (or Equivalent Certificate from an accredited program) or higher degree AHA BLS Experience in healthcare setting

ROLE SUMMARY Works under the supervision of the Director of Surgical Services or designee (OR Supervisor, RN Coordinator) . Assists surgical team before, during, and after surgery by performing the following duties. CORE RESPONSIBILITIES Identifies and selects the instruments and equipment necessary for surgical procedures. Maintains strict aseptic technique. Assists the surgeon during the operative procedure. Anticipates surgeon’s needs to expedite the procedure thereby minimizing the patient’s exposure to trauma. Properly maintains sterile instruments and adheres to proper sterilization techniques according to department policy. Uses the autoclave and Steris units. Monitors the sterile field for possible breaks in sterile technique. Maintains fiscal prudence when managing their sterile fields. Counts sponges, needles, and instruments before and after operation. Assists with room turnover and cleaning after each case. Restocks operating rooms as needed. Collaborates with and assists professional staff as needed. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Able to identify and select the instruments and equipment necessary for most surgical procedures and picks cases appropriately Knowledge of supplies, instruments, and equipment and when they are used in surgery Able to maintain strict aseptic MINIMUM REQUIREMENTS High school diploma (or Equivalent Certificate from an accredited program) or higher degree AHA BLS Experience in healthcare setting

ROLE SUMMARY Works under the supervision of the Home Care Patient Care Manager. The RN Home Care assesses, plans, implements, evaluates, and supervises patient/family care in the home based on age-specific needs/expected outcomes according to policies and procedures. Accepts responsibility for direction of coworkers in the implementation of care plans. This position maintains confidentiality at all times. CORE RESPONSIBILITIES Uses the nursing process when planning and providing patient/family care. Coordinates patient care activities and maintains communications with other disciplines. Oversees the delegation of specifics of Care Plan to other employees. Teaches the patient/family about the patient’s care needs, disease prevention and health maintenance measures. Performs technical procedures safely according to policies and procedures. Maintains accurate and timely records according to policy. Demonstrates self-directed behavior. Attends a minimum of 15 hours of continuing education on a yearly basis. Attends mandatory hospital in-services on a yearly basis. Attends all staff meetings and case conferences and signs off as having read minutes for those missed. ROLE SPECIFIC RESPONSIBILITIES HOME CARE INTAKE: This role helps with the daily referrals, intake, scheduling and preauthorization responsibilities of the home care agency. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Ability to develop positive interaction with patients, patients’ families, physicians and staff in order to effectively care for the patients. Ability to speak clearly to communicate with patients, families, physicians and staff in order to effectively care for the patients. Ability to assess, evaluate, explain, teach, problem solve using critical thinking, and perform calculations. Ability to organize work load, and use of effective time management MINIMUM REQUIREMENTS Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date Associate’s or Bachelor’s Degree from an accredited school of nursing AHA BLS One year experience as an RN Valid USA driver’s license Must have clean driving record that follows Cheyenne Regional Medical Center’s driving guidelines PREFERRED QUALIFICATIONS Bachelor’s degree from an accredited school of nursing

ROLE SUMMARY Works under the direct supervision of a registered nurse or other professional, offers compassionate care to all patients based on age-specific needs/expected outcomes, placing an emphasis on high quality, comprehensive treatment, by means of an interdisciplinary team and using a holistic approach. Provides personal care, homemaking, emotional, social and spiritual support to patients and families – regardless of race, age, sex, religion, handicap or ability to pay during all phases of illness and bereavement. CORE RESPONSIBILITIES Assists patient with personal care. Assists patient with transferring and ambulation. Assists patient with prescribed exercises and simple procedures which have been taught by appropriate professional personnel. Performs homemaking services which are essential to the patient’s care at home. Assists in maintaining a safe environment for the patient. Use safety and patient care equipment appropriately. Reinforce the safe use of equipment to the patient. Uses proper body mechanics when providing patient care/homemaking services. Use universal precautions in providing services. Recognize limitations and seek assistance as needed. Observes patient condition and immediately communicate changes/concerns. Records care given and pertinent changes in the patient’s condition on the Aide Flow Sheet. ROLE SPECIFIC RESPONSIBILITIES HOME CARE SCHEDULER: Schedules initial and continuous visits for intermittent and hourly programs across various disciplines. Abides by CMS rules and regulations to schedule supervisory visits for appropriate disciplines. Works closely with Intake RN and Billing specialist to ensure that visits are appropriately scheduled in accordance with payor preauthorization, CMS rules and provider orders. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Ability to interact positively with patients, patient’s families and staff so as to promote positive patient care Ability to be flexible with department needs. Communicates pertinent information to appropriate persons Ability to demonstrate sufficient dexterity to provide patient care. Ability to speak clearly for patient communication Ability to operate motor vehicle is necessary MINIMUM REQUIREMENTS High school diploma or GED Minimum of a current Wyoming Certified Nursing Assistant license upon start date with additional home health / hospice training AHA BLS Valid USA driver’s license Must have clean driving record that follows Cheyenne Regional Medical Center’s driving guidelines PREFERRED QUALIFICATIONS 1 year experience

ROLE SUMMARY The Registered Nurse assesses, plans, implements, evaluates and supervises individual patient care according to unit policies and procedures. Accepts responsibility for direction of co-workers in the implementation of care plans. May be required to work on other units according to distribution of staff and patients. CORE RESPONSIBILITIES Completes nursing assessment of patient and documents appropriately into patient chart. Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately. Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards. Documents training and competencies in electronic format. DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES VASCULAR ACCESS NURSE: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrates effective leadership and professional skills according to Standards of Care Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes MINIMUM HIRING REQUIREMENTS Associate’s degree or higher from an accredited school of nursing Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date AHA BLS 6 months experience required REQUIREMENTS TO BE COMPLETED ONCE HIRED: Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation. Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. Candidates must meet the following mandatory requirements for specialty units once hired: Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire PREFERRED QUALIFICATIONS Bachelor’s degree or higher from an accredited school of nursing

ROLE SUMMARY Works under the supervision of the Cardiac Services Clinical Manager/MD. This position assists with all non-invasive and invasive diagnostic and interventional cath, pacer, and EP procedures. This position assesses, plans, implements, evaluates, and supervises individual patient care according to unit policies and procedures. CORE RESPONSIBILITIES Supports and models behaviors consistent with the mission and vision of CRMC and Cardiac Service department. Monitors patients throughout non-invasive and invasive diagnostic and interventional procedures. Responsible for identifying changes in patient’s rhythm and hemodynamic status. Assesses, monitors, and administers conscious sedation according to hospital protocol. Implements medical and nursing orders per plan of care and documents appropriately. Evaluates patient’s response to care. Meets all performance standards in scrubbing, monitoring, and circulating positions. Engages in patient and family teaching as appropriate. Unit specific orientation and ongoing training and competencies as assigned based on department role, scope of services, and organizational standards. DEPARTMENT SPECIFIC RESPONSIBILITIES CARDIOVASCULAR: Scrubs assistant to the physician. Sets up and maintains the sterile field as well as arterial and venous lines. Assists in catheter/wire manipulation, injects coronary arteries for the visualization of cardiac anatomy along with procedural supply preparation. Maintains radiation safety. Able to function independently with hemodynamic monitoring equipment which includes operations, troubleshooting and calibration. Completes patient charges. Coordinates and communicates with nursing units and patient’s families NON-INVASIVE: Assists with all non-invasive diagnostic procedures to include exercise treadmills, stress echo, nuclear stress testing, Dobutamine stress tests, TEE and Tilt table procedures. Able to function independently with hemodynamic monitoring equipment and treadmill equipment which includes operations, troubleshooting and calibration. Communicates with nursing units, and patient’s families. Triages of patients utilizing Appropriate Use criteria for non invasive procedures. Organizes daily workflow. HOLD ROOM: Responsible for pre and post-procedural care for all non-invasive and invasive diagnostic and interventional cath, pacer, and EP procedures including but not limited to nursing assessments, documentation, and cardiac monitoring. Assists with non-invasive diagnostic procedures including TEE and cardioversions. Coordinates, schedules, and provides patient pre-procedure instructions. Coordinates patient care in collaboration with physicians and ancillary departments to achieve quality outcomes. Participates in ongoing evaluation of patients, assuring efficiency of communication with patients for follow up care. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Ability to establish and maintain relationships conducive to collaborative team approach Knowledge of all cardiovascular procedural equipment and ability to troubleshoot any problems that may arise Knowledge of radiologic equipment and radiation safety Functions at a high level of competency with minimal supervision from Cardiovascular Clinical Manager/MD Demonstrate effective leadership and professional skills according to Standards of Care. Ability to assess, evaluate, explain, teach, and problem solve using critical thinking MINIMUM HIRING REQUIREMENTS Current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date Associate’s Degree from an accredited school of nursing AHA BLS One year of RN experience in acute care or ambulatory setting AHA ACLS (Within 6 months of hire) PREFERRED QUALIFICATIONS Bachelor’s degree from an accredited school of nursing CVN, RCIS for Cath Lab, and RCES for EP Lab Recent and relevant critical care and/or cardiac care experience Knowledgeable of EKG rhythm recognition

This position is PRN (As Needed) ROLE SUMMARY Works under the direct supervision of a registered nurse or other professional, offers compassionate care to all patients based on age-specific needs/expected outcomes, placing an emphasis on high quality, comprehensive treatment, by means of an interdisciplinary team and using a holistic approach. Provides personal care, homemaking, emotional, social and spiritual support to patients and families – regardless of race, age, sex, religion, handicap or ability to pay during all phases of illness and bereavement. CORE RESPONSIBILITIES Assists patient with personal care. Assists patient with transferring and ambulation. Assists patient with prescribed exercises and simple procedures which have been taught by appropriate professional personnel. Performs homemaking services which are essential to the patient’s care at home. Assists in maintaining a safe environment for the patient. Use safety and patient care equipment appropriately. Reinforce the safe use of equipment to the patient. Uses proper body mechanics when providing patient care/homemaking services. Use universal precautions in providing services. Recognize limitations and seek assistance as needed. Observes patient condition and immediately communicate changes/concerns. Records care given and pertinent changes in the patient’s condition on the Aide Flow Sheet. ROLE SPECIFIC RESPONSIBILITIES HOME CARE SCHEDULER: Schedules initial and continuous visits for intermittent and hourly programs across various disciplines. Abides by CMS rules and regulations to schedule supervisory visits for appropriate disciplines. Works closely with Intake RN and Billing specialist to ensure that visits are appropriately scheduled in accordance with payor preauthorization, CMS rules and provider orders. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Ability to interact positively with patients, patient’s families and staff so as to promote positive patient care Ability to be flexible with department needs. Communicates pertinent information to appropriate persons Ability to demonstrate sufficient dexterity to provide patient care. Ability to speak clearly for patient communication Ability to operate motor vehicle is necessary MINIMUM REQUIREMENTS High school diploma or GED Minimum of a current Wyoming Certified Nursing Assistant license upon start date with additional home health / hospice training AHA BLS Valid USA driver’s license Must have clean driving record that follows Cheyenne Regional Medical Center’s driving guidelines PREFERRED QUALIFICATIONS 1 year experience