45 jobs found in Cheyenne

ROLE SUMMARY The Central Service Aide performs duties according to the shift the staff member is assigned to. The core responsibilities below are the various expectations of each shift. CORE RESPONSIBILITIES Collects dirty instruments, trays, basins, etc. from the nursing units. Decontaminates all soiled equipment and return to storage room for future use. Delivers processed sterile instruments and trays to the nursing units. Ensures that all supply carts are kept clean, neat and in order at all times. Performs bed checks and wound VAC checks Issues and delivers supplies and equipment as orders come in. Pulls Pyxis refill report and restock Pyxis supply stations. Restocks as stock outs occur. Verifies items placed in each station to ensure correct item is in correct bin. Checks for expiration dates. Verifies with Inventory Coordinator accuracy of replenishment from Stores, unload cart and place supplies on CS shelves, and excess supplies placed neatly in back hall. Checks IV solutions, IV tubing, syringes and restock. Makes Heart Admit Kits; check Dressing Trays and Open Heart Dressing Kits. Orders lab supplies as needed. Scans supply shelves according to established schedule. Fills replenishment lists created in MS4. Confirms replenishment lists in MS4. 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 Manual dexterity Must be service oriented and get along with others Ability to multi-task Must have effective trouble shooting and problem solving skills. Must read, write, and comprehend English Must be detail oriented MINIMUM REQUIREMENTS High school diploma or GED or Equivalent Certificate from an accredited program or higher

ROLE SUMMARY Works under the direct supervision of the Director of Surgical Services or designee (OR Supervisor, RN Coordinator). Performs a variety of tasks including transporting patients, preparing and cleanup of surgical cases in the OR. Responsible for transporting equipment and supplies to the OR suite. Responsible for assisting the OR RN in the delivery of care to the surgical patient. Fiscal management of supplies is a shared responsibility for all team members. Must be conscious of sterile technique at all times. Performs the functions as assigned. Work under the direction of a RN. CORE RESPONSIBILITIES Transports patients to and from surgery after checking the chart for appropriate documentation. Assigned to a specific OR suite in which they assist the OR RN with patient care, including: transfer of patients to and from bed, position and prep, opening sterile supplies, apply monitor leads, and transport equipment to and from the room. Maintains strict aseptic technique. Cleans the room during turnovers and terminally cleans the room at the end of the day. Maintains established departmental policies and procedures, quality assurance programs, and safety standards. Handles equipment, instruments, and supplies to prevent damage or loss. Completes mandatory education and contact education requirements including 12 CEUs per year. 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 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 REQUIREMENTS TO BE COMPLETED ONCE HIRED: Completion of competency based training in the OR within six months of hire

ROLE SUMMARY Works under the direct supervision of the Director of Surgical Services or designee (OR Supervisor, RN Coordinator). Performs a variety of tasks including transporting patients, preparing and cleanup of surgical cases in the OR. Responsible for transporting equipment and supplies to the OR suite. Responsible for assisting the OR RN in the delivery of care to the surgical patient. Fiscal management of supplies is a shared responsibility for all team members. Must be conscious of sterile technique at all times. Performs the functions as assigned. Work under the direction of a RN. CORE RESPONSIBILITIES Transports patients to and from surgery after checking the chart for appropriate documentation. Assigned to a specific OR suite in which they assist the OR RN with patient care, including: transfer of patients to and from bed, position and prep, opening sterile supplies, apply monitor leads, and transport equipment to and from the room. Maintains strict aseptic technique. Cleans the room during turnovers and terminally cleans the room at the end of the day. Maintains established departmental policies and procedures, quality assurance programs, and safety standards. Handles equipment, instruments, and supplies to prevent damage or loss. Completes mandatory education and contact education requirements including 12 CEUs per year. 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 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 REQUIREMENTS TO BE COMPLETED ONCE HIRED: Completion of competency based training in the OR within six months of hire

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, Wyoming Paramedic license, or NREMT AHA BLS PREFERRED QUALIFICATIONS National EMT certificate or National Paramedic license Prior experience in patient care setting

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, Wyoming Paramedic license, or NREMT AHA BLS PREFERRED QUALIFICATIONS National EMT certificate or National Paramedic license Prior experience in patient care setting

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, Wyoming Paramedic license, or NREMT AHA BLS PREFERRED QUALIFICATIONS National EMT certificate or National Paramedic license Prior experience in patient care setting

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, Wyoming Paramedic license, or NREMT AHA BLS PREFERRED QUALIFICATIONS National EMT certificate or National Paramedic license Prior experience in patient care setting

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, Wyoming Paramedic license, or NREMT AHA BLS PREFERRED QUALIFICATIONS National EMT certificate or National Paramedic license Prior experience in patient care setting

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, Wyoming Paramedic license, or NREMT 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 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 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 The RN Clinic is responsible for providing primary care to patients, including assessment, treatment, care planning, and medical care evaluation. CORE RESPONSIBILITIES Obtains patient consent for care and ensures patient confidentiality. Obtains and documents health history, information on chief complaint, vital signs, and health risk factors and assesses condition. Provides patient care based on practice guidelines, standards of care, and federal/state laws and regulations. Executes prescribed treatments and medical interventions, administers prescribed medications, and monitors and documents treatment progress and patient response. Delegates as allowed under the Nurse Practice Act. Refers to/consults with physicians, other health providers, and community resources to prevent/resolve problems or concerns. Educates patients and families about health status, health maintenance, and management of conditions. Documents patient assessment and intervention data using established medical record forms/automated systems and documentation practices. Participates in multidisciplinary teams to improve patient care processes and outcomes. Tracks quality assurance data and monitors for acute and chronic care management. Maintains medical supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing orders for supplies; verifying receipt of supplies; and stocking exam rooms 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 Understanding of health care technology, equipment, and supplies Familiarity with state law on nursing care, nurse practice guidelines, and clinic policies and procedures Knowledge of wellness/illness, growth and development, human behavior, psychosocial factors, and alternative health care treatments Knowledge of chart/medical record documentation requirements and federal/state laws related to release of health care information Skill in time management, problem solving, multitasking, prioritizing, and medical care coordination Skill in initiating appropriate crisis interventions and emergency response. Skill in patient triage in person and on the phone Ability to analyze options and then counsel patients and families about choices and make referrals to other providers and resources Ability to engage clients and families in the development and implementation of a care plan Ability to read and interpret physicians’ orders and notes from other providers Ability to calculate and administer drug dosages and injections and measure results 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 Experience as required per clinic: Five years prior experience in outpatient nursing (preferably orthopedic) for John E. Winter Clinic Orthopedic Nurse Specialist OUTREACH ONLY REQUIREMENT: Valid USA driver’s license Must have clean driving record that follows Cheyenne Regional Medical Center’s driving guidelines PREFERRED QUALIFICATIONS Cardiac/vascular experience for Cheyenne Cardiology Clinic

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 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. 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 PREFERRED QUALIFICATIONS Bachelor’s degree or higher from an accredited school of nursing

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 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 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