24 jobs found in Cheyenne

ROLE SUMMARY Works under the supervision of the Cardiac Services Clinical Manager/MD. Role includes but not limited to assisting with all non-invasive and invasive diagnostic and interventional cath, pacer, and EP procedures. The Registered Nurse will assess, plan, implement, evaluate, and supervise 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 Assess, monitor, and administer 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: Scrub 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. Responsible to coordinate and communicate 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. Responsible to communicate with nursing units, and patient’s families. Triage of patients utilizing Appropriate Use criteria for non invasive procedures. Organize 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. Responsible for coordinating, scheduling patients, and providing pre-procedure instructions. Responsible for coordination of 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. 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 or Bachelor’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

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures. Accept 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. Documentation of these trainings and competencies will be held in an 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 : Provide 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. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain 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 : Float 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 Current Wyoming Registered Nurse License or through one of the States participating in the enhanced Nurse Licensure Compact (eNLC) at the RN level or above 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 orAHA 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

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures. Accept 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. Documentation of these trainings and competencies will be held in an 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 : Provide 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. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain 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 : Float 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 Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) 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 orAHA 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

ROLE SUMMARY The Director Psychiatric Nursing ensures the provision of quality nursing care for Cheyenne Regional Medical Centers Psychiatric Service Line in accordance with Federal, State and Regulatory Agency standards. This position directs all phases of the nursing service to insure complete and competent nursing care for patients. Assures compliance with regulations pertaining to care plans and patient assessments. CORE RESPONSIBILITIES Plans, develops and assigns nursing service personnel based on patient volume and acuity using master staffing schedule. Confers with Medical Director Psychiatry and Administrator of Behavioral Health Services and other administrative and professional personnel to assist in establishing and reviewing policies, programs and procedures. Responsible for development and maintenance of nursing service objectives, standards of nursing practice, nursing policy and procedure manuals, written job descriptions for nursing personnel and scheduling of daily patient nursing rounds for the facility. Plans, directs and participates in the in-service training program, including orientation of new nursing personnel and continuing staff development. Evaluates the quality of the nursing service rendered in the facility. Makes contact as necessary with nurses, patients and relatives regarding nursing care and related activities. Assists in the preparation and control of the departmental budget. Leads up the Human Resources functions with nursing service personnel. Complies with department or unit regulatory, licensing and accreditation requirements . Establishes and maintains methods, procedures and records designed to regulatory standards and hospital policy and procedure. Keeps abreast of new development in medical science and nursing in order that necessary changes and adaptations may be promptly initiated and effectively executed. Works, and supports the Nursing Cohort to work, with a focus on interdisciplinary, high reliability and interdepartmental performance improvement activity. Provides operational leadership and has budget responsibilities. Adheres to established leadership competencies, service standards and reinforces excellence in those standards with subordinates. 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 Excellent verbal, written and interpersonal communication skills Exhibits a passion for nursing, pursues continuous improvement for quality solutions, and advocates for patients, nurses and psychiatric clinical team Skilled in coaching and developing direct reports that results in enhanced performance outcomes Demonstrates competence to participate in interdisciplinary formulation of individual treatment plans; to give skilled nursing care and therapy; and to direct, monitor, and evaluate the nursing care furnished Demonstrates ability to initiate projects, define project plans and lead project teams Demonstrates ability to work in ambiguous settings, to independently structure analysis and drive to recommendations Committed to developing collaborative and positive relationships with medical staff, peers and clinical team practitioners Knowledge of modern national trends in hospital quality, patient safety and the changing health care environment Demonstrates success in strategic planning Ability and availability to handle emergent crisis situations MINIMUM REQUIREMENTS 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 Minimum of 3 years management experience in an acute care psychiatric setting or related field Initial and annual CPI training completion as required for practice within the department or ability to achieve within six months of hire. AHA BLS PREFERRED QUALIFICATION Master’s Degree in Psychiatric or Mental Health Nursing, or its equivalent from a school of nursing accredited by the National League for Nursing, or be qualified by education and experience in the care of the psychiatrically ill

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures. Accept 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. Documentation of these trainings and competencies will be held in an 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 : Provide 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. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain 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 : Float 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 Current Wyoming Registered Nurse License or through one of the States participating in the enhanced Nurse Licensure Compact (eNLC) at the RN level or above 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: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC orAHA 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

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures. Accept 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. Documentation of these trainings and competencies will be held in an 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 : Provide 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. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain 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 : Float 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 Current Wyoming Registered Nurse License or through one of the States participating in the enhanced Nurse Licensure Compact (eNLC) at the RN level or above 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: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC orAHA 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

ROLE SUMMARY The Nurse Navigator is the strategic point of contact for cancer patients and their families. The primary function is assisting patients and families through the healthcare system by assisting with access issues, developing relationships with service providers and tracking interventions and outcomes with the goal of achieving optimal patient outcome. The Nurse Navigator would serve as a single point of contact for referring physician, patients and caregivers to provide resources and assistance with accessing clinical and supportive care services while navigating patients through the diagnostic evaluation process. The Nurse Navigator will assist patients in understanding their diagnosis, treatment options and the resources available, including educating patients about appropriate clinical research studies and technologies, chemotherapy and other treatment options. The Nurse Navigator would perform survivorship duties by creating and assisting in the delivery of the survivorship care plan for all patients. The Nurse Navigator would report at Cancer Committee quarterly regarding the flow of cancer patients trough diagnostic and treatment pathways. CORE RESPONSIBILITIES 1. Coordinate and facilitate activities to ensure delivery of quality patient care such as; consultations, diagnostic tests or procedures and future appointments required for initial treatment (including, but not limited to: financial counseling, chaplaincy, social services, dietary, ancillary departments, and support groups). Follow patient through the care continuum, including patient admissions, and collaborate with inpatient care management resources. Serve as a liaison between the Cancer Center and other ancillary areas to ensure the needs/concerns of the patient are met 2. Assist patients in understanding their diagnosis, treatment options and the resources available. Perform patient chemotherapy education. Identify and maintain materials and resources for cancer patients. Identify patient/family individualized learning needs and implement measures to meet those needs based on patient/family capabilities to learn. Develop patient education programs and tools. Maintain confidentiality and actively support patient/family rights. Identify needs for support groups for patients and families and assist in coordinating and/or facilitating such groups. Create and assist in the delivery of survivorship care plans 3. Seek opportunities to participate in related community education activities and partner with professional community agencies and organizations to achieve improved prevention and screening in regional populations. Assist in assessing need for public awareness and educational programs related to cancer for men and women 4. Build relationships with referring physicians and work collaboratively with multidisciplinary care team. Participate in cancer conferences 5. Develop and implement protocols to insure patients receive timely diagnostic and treatment information throughout the system. Track and document the flow of patients through specific diagnostic and treatment pathways. Develop and maintain databases to track effectiveness of programs, and ensure the achievement of goals as developed by the service line, hospital staff, and physicians are met. Monitor navigation compliance with American College of Surgeon’s Commission on Cancer accreditation with 3.1 Patient Navigation Process 6. Participate in development of practice standards for the Oncology program and in development and evaluation of program quality metrics. Act as a change agent for the Oncology program through formulation of new standards and policies 7. Collaborate with Oncology leadership to maintain navigation program within fiscal parameters. Evaluate potential finding opportunities to support the mission and goals of the Oncology Service Line 8. Assist in the identification of patients eligible for current research studies. Make presentations in reference to navigation and survivorship program to required committees, accrediting agencies, and support groups, etc. 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 analyze and solve problems that require the use of basic clinical or technical principles. Recognize patients’ changes, concerns, and determine best form of support for patient. Tolerance of ambiguity and the flexibility to respond to changing system needs • Ability to solve practical problems and deal with a variety of complex situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. Seek input/resources of Oncology Product Line Director to facilitate decision-making process • Demonstrate excellent communication skills. Develop and maintain effective communication with internal and external customers. Must be able to explain information to patients and families in a way that the patient understands, and/or explain departmental or hospital procedure to employees, visitors, and patients. Ability to read, analyze, and interpret professional journals, technical procedures or governmental regulations. Ability to write clear, professional, understandable reports and general correspondence • Provides positive customer service by treating all customers (patients, visitors, physicians, etc.) with courtesy and respect • Knowledge of organization department and job specific policies, competencies and certifications • Ability to demonstrate use of clinical skills in the area of cancer, cancer treatments and psychosocial impact of disease on recovery MINIMUM HIRING REQUIREMENTS • Licensed with the Wyoming Board of Nursing or through one of the States participating in the enhanced Nurse Licensure Compact (eNLC) at the RN level or above o In accordance with the Wyoming Board of Nursing, regardless of licensure held, employees may only work within the scope of the job description. • Associate’s or Bachelor’s Degree from an accredited school of nursing • Three years nursing experience, including one year oncology experience • Evidence of specialty training in oncology and cancer disease processes • AHA BLS REQUIREMENTS TO BE COMPLETED UPON HIRE: • ONS Chemotherapy/Biotherapy Course completion PREFERRED QUALIFICATIONS • Bachelor’s Degree from an accredited school of nursing • Oncology Certified Nurse through Oncology Nursing Society (OCN) • Care management experience and support group facilitation experience

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures. Accept 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. Documentation of these trainings and competencies will be held in an 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 : Provide 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. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain 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 : Float 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 Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) 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 orAHA 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

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures. Accept 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. Documentation of these trainings and competencies will be held in an 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 : Provide 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. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain 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 : Float 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 Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) 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 orAHA 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

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures. Accept 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. Documentation of these trainings and competencies will be held in an 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 : Provide 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. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain 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 : Float 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 Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) 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 orAHA 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

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures. Accept 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. Documentation of these trainings and competencies will be held in an 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 : Provide 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. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain 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 : Float 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 Current Wyoming Registered Nurse License or through one of the States participating in the enhanced Nurse Licensure Compact (eNLC) at the RN level or above 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 orAHA 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

ROLE SUMMARY Under the supervision of the center manager for administrative functions and supervision of the primary care physician (PCP), the clinic nurse is responsible for assessing, coordinating, monitoring, and providing health care services and treatment for Wyoming PACE participants. The position will manage day-to-day clinic operations and ensure provision of high-quality care, including coordination with the interdisciplinary team. CORE RESPONSIBILITIES 1. Participate as a member of the interdisciplinary team (IDT), including completion of initial medical history, physical exam, and functional nursing assessments of each new participant and semi-annual, annual, and unscheduled assessments; communicate changes in participant health or functional status to the interdisciplinary team members, and participate in development of the plan of care and coordination for 24-hour care delivery 2. Participate in the development and implementation of QAPI activities; evaluate overall effectiveness of the center, implementing change and quality improvement as needed. Review participant medical records to ensure timely and accurate clinic staff documentation 3. Facilitate integration of new participants into the Wyoming PACE health care delivery system, including medication, immunizations, routine monitoring of chronic problems, and nursing care plan development 4. Manage day-to-day clinic operations, including staffing, scheduling, clinic staff supervision, and quality oversight. Ensure that all clinic areas are stocked with necessary supplies and materials and that all emergency equipment is available and in working order 5. Coordinate participant care with outside contracted service providers, including hospitals, nursing facilities, assisted living facilities, lab, oxygen etc. 6. Act as liaison with primary care provider in the event of an episodic illness; assist in coordinating services provided by primary care provider. Provide health education and counseling to participants and caregivers experiencing chronic conditions and end-of-life issues 7. Provide on-call coverage during center hours of non-operation and home visits as needed. Communicate with weekend and after-hours on-call staff, following up on issues as necessary. May 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 • Broad knowledge base of physical, mental, and social needs of the frail elderly population • Knowledge of medical equipment and instruments • Knowledge of common safety hazards and precautions to establish a safe work environment • Experienced in physical assessment and triaging • Skilled in identifying problems and recommending solutions • Able to effectively prepare and maintain records • Experienced in development and maintenance of department quality assurance • Ability to react calmly and effectively in emergency situations • Able to establish and maintain effective working relationships with participants, medical staff, staff members, and family caregivers in a pleasant, patient, and professional manner • Well organized, dependable, flexible, and resourceful • Effective oral and written communication skills • Computer skills required MINIMUM REQUIREMENTS • Licensed with the Wyoming Board of Nursing or through one of the States participating in the enhanced Nurse Licensure Compact (eNLC) at the RN level or above o In accordance with the Wyoming Board of Nursing, regardless of licensure held, employees may only work within the scope of the job description. • Associate’s or Bachelor’s Degree from an accredited school of nursing • AHA BLS • Minimum of three (3) years of health care experience with emphasis in geriatrics • Minimum of one (1) year of documented experience working with a frail or elderly population PREFERRED QUALIFICATIONS • Bachelor’s Degree in Nursing

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures. Accept 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. Documentation of these trainings and competencies will be held in an 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 : Provide 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. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain 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 : Float 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 Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) 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 orAHA 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

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures. Accept 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. Documentation of these trainings and competencies will be held in an 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 : Provide 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. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain 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 : Float 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 Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) 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 orAHA 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

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures. Accept 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 1. 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. 2. Implements medical and nursing orders per plan of care and documents appropriately. Evaluates patient's response to care. 3. Engages in patient and family teaching as appropriate. 4. Oversees staff assigned for providing patient care. 5. 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. 6. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards. Documentation of these trainings and competencies will be held in an electronic format. DEPARTMENT SPECIFIC RESPONSIBILITIES 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. 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: Float 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 • Licensed with the Wyoming Board of Nursing or through one of the States participating in the enhanced Nurse Licensure Compact (eNLC) at the RN level or above o In accordance with the Wyoming Board of Nursing, regardless of licensure held, employees may only work within the scope of the job description. • Associate’s or Bachelor’s Degree from an accredited school of nursing • AHA BLS • 6 months experience required unless otherwise specified below o Minimum of five years ICU, ER or related experience for Hospitalist o Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery o 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): o AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. o 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: o Administrative Reps. – AHA ACLS o Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS o Behavioral Health – CPI training prior to completion of orientation o Cardiac Services – AHA ACLS o ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC o Endoscopy – AHA ACLS o ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year o 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 o MBU – AAP NRP within three months of hire, AHA ACLS if floated to L&D o Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire o Nursery – AAP NRP within three months of hire o OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year o PACU– AHA ACLS, AHA PALS o PCU – AHA ACLS and TNCC o Peds – AHA NRP within three months of hire, AHA PALS or ENPC within three months months of finishing specialized orientation o Resource- AHA ACLS, CPI within 6 months o 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: o AHA ACLS and CAPA for Same Day Surgery o CPAN for PACU o Minimum of six months critical care experience for PACU

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures. Accept 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 1. 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. 2. Implements medical and nursing orders per plan of care and documents appropriately. Evaluates patient's response to care. 3. Engages in patient and family teaching as appropriate. 4. Oversees staff assigned for providing patient care. 5. 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. 6. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards. Documentation of these trainings and competencies will be held in an electronic format. DEPARTMENT SPECIFIC RESPONSIBILITIES 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. 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: Float 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 • Current Wyoming Registered Nurse License (see Additional Information for alternative licensure accepted) • AHA BLS • 6 months experience required unless otherwise specified below o Minimum of five years ICU, ER or related experience for Hospitalist o Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery o 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): o AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. o 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: o Administrative Reps. – AHA ACLS o Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS o Behavioral Health – CPI training prior to completion of orientation o Cardiac Services – AHA ACLS o ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC o Endoscopy – AHA ACLS o ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year o 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 o MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D o Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire o Nursery – AAP NRP within 6 months of hire o OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year o PACU– AHA ACLS, AHA PALS o PCU – AHA ACLS and TNCC o Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation o Resource- AHA ACLS, CPI within 6 months o 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: o AHA ACLS and CAPA for Same Day Surgery o CPAN for PACU o Minimum of six months critical care experience for PACU

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures. Accept 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. Documentation of these trainings and competencies will be held in an 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 : Provide 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. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain 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 : Float 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 Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) 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 orAHA 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

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures. Accept 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 1. 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. 2. Implements medical and nursing orders per plan of care and documents appropriately. Evaluates patient's response to care. 3. Engages in patient and family teaching as appropriate. 4. Oversees staff assigned for providing patient care. 5. 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. 6. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards. Documentation of these trainings and competencies will be held in an electronic format. DEPARTMENT SPECIFIC RESPONSIBILITIES 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. 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: Float 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 • Current Wyoming Registered Nurse License (see Additional Information for alternative licensure accepted) • AHA BLS • 6 months experience required unless otherwise specified below o Minimum of five years ICU, ER or related experience for Hospitalist o Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery o 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): o AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. o 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: o Administrative Reps. – AHA ACLS o Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS o Behavioral Health – CPI training prior to completion of orientation o Cardiac Services – AHA ACLS o ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC o Endoscopy – AHA ACLS o ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year o 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 o MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D o Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire o Nursery – AAP NRP within 6 months of hire o OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year o PACU– AHA ACLS, AHA PALS o PCU – AHA ACLS and TNCC o Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation o Resource- AHA ACLS, CPI within 6 months o 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: o AHA ACLS and CAPA for Same Day Surgery o CPAN for PACU o Minimum of six months critical care experience for PACU

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures. Accept 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. Documentation of these trainings and competencies will be held in an 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 : Provide 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. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain 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 : Float 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 Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) 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 orAHA 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