Cheyenne Regional Medical Center

       

Cheyenne Regional Medical Center traces its history back to 1867 when it began as a frontier tent hospital constructed by the Union Pacific Railroad to treat workers injured building the transcontinental railroad. Through the years, we’ve grown and changed to meet the needs of the people we serve in southeastern Wyoming and western Nebraska. The one thing that has not changed is our original pioneering spirit, which continually pushes us to seek out how we can best care for and meet the health needs of our community and region. This pioneering spirit is also what prompted us to enter into a management services agreement with UCHealth in 2018, with the goal of offering world-class care, close to home.

Community Benefit
To help ensure that more Laramie County residents have access to essential health and wellness services, Cheyenne Regional offers hospital-based programs and also partners with organizations that provide a vital safety net to individuals and families in need. The areas where we provide community support are broken down into several categories, including:

  • Community health improvement services
  • Health professions education
  • Subsidized health services
  • Community partner grants/in-kind services
  • Community-building activities
  • Community benefit operations
  • Financial assistance at cost
  • Government-sponsored healthcare
  • Unpaid cost of Medicare
  • Bad debt (at cost)

These outreach services totaled more than $245 million from 2012 through 2016. In 2016 our overall contributions to our community came to more than $42 million. Of that $42 million, the total “community benefit,” which includes the first eight categories above, was more than $17 million.

Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY Works under the direct supervision of the Director of Surgical Services or designee (OR Supervisor, RN Coordinator). Performs a variety of tasks including transporting patients, preparing and cleanup of surgical cases in the OR. Responsible for transporting equipment and supplies to the OR suite. Responsible for assisting the OR RN in the delivery of care to the surgical patient. Fiscal management of supplies is a shared responsibility for all team members. Must be conscious of sterile technique at all times. Performs the functions as assigned. Work under the direction of a RN. CORE RESPONSIBILITIES Transports patients to and from surgery after checking the chart for appropriate documentation. Assigned to a specific OR suite in which they assist the OR RN with patient care, including: transfer of patients to and from bed, position and prep, opening sterile supplies, apply monitor leads, and transport equipment to and from the room. Maintains strict aseptic technique. Cleans the room during turnovers and terminally cleans the room at the end of the day. Maintains established departmental policies and procedures, quality assurance programs, and safety standards. Handles equipment, instruments, and supplies to prevent damage or loss. Completes mandatory education and contact education requirements including 12 CEUs per year. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrates knowledge of medical terminology Demonstrates an independent work initiative, sound judgment and attention to detail MINIMUM REQUIREMENTS High school diploma (or Equivalent Certificate from an accredited program) or higher degree Minimum of a current Wyoming Certified Nursing Assistant license upon start date AHA BLS REQUIREMENTS TO BE COMPLETED ONCE HIRED: Completion of competency based training in the OR within six months of hire
Feb 24, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY Works under the direct supervision of the Director of Surgical Services or designee (OR Supervisor, RN Coordinator). Performs a variety of tasks including transporting patients, preparing and cleanup of surgical cases in the OR. Responsible for transporting equipment and supplies to the OR suite. Responsible for assisting the OR RN in the delivery of care to the surgical patient. Fiscal management of supplies is a shared responsibility for all team members. Must be conscious of sterile technique at all times. Performs the functions as assigned. Work under the direction of a RN. CORE RESPONSIBILITIES Transports patients to and from surgery after checking the chart for appropriate documentation. Assigned to a specific OR suite in which they assist the OR RN with patient care, including: transfer of patients to and from bed, position and prep, opening sterile supplies, apply monitor leads, and transport equipment to and from the room. Maintains strict aseptic technique. Cleans the room during turnovers and terminally cleans the room at the end of the day. Maintains established departmental policies and procedures, quality assurance programs, and safety standards. Handles equipment, instruments, and supplies to prevent damage or loss. Completes mandatory education and contact education requirements including 12 CEUs per year. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrates knowledge of medical terminology Demonstrates an independent work initiative, sound judgment and attention to detail MINIMUM REQUIREMENTS High school diploma (or Equivalent Certificate from an accredited program) or higher degree Minimum of a current Wyoming Certified Nursing Assistant license upon start date AHA BLS REQUIREMENTS TO BE COMPLETED ONCE HIRED: Completion of competency based training in the OR within six months of hire
Feb 24, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY The Central Service Aide performs duties according to the shift the staff member is assigned to. The core responsibilities below are the various expectations of each shift. CORE RESPONSIBILITIES Collects dirty instruments, trays, basins, etc. from the nursing units. Decontaminates all soiled equipment and return to storage room for future use. Delivers processed sterile instruments and trays to the nursing units. Ensures that all supply carts are kept clean, neat and in order at all times. Performs bed checks and wound VAC checks Issues and delivers supplies and equipment as orders come in. Pulls Pyxis refill report and restock Pyxis supply stations. Restocks as stock outs occur. Verifies items placed in each station to ensure correct item is in correct bin. Checks for expiration dates. Verifies with Inventory Coordinator accuracy of replenishment from Stores, unload cart and place supplies on CS shelves, and excess supplies placed neatly in back hall. Checks IV solutions, IV tubing, syringes and restock. Makes Heart Admit Kits; check Dressing Trays and Open Heart Dressing Kits. Orders lab supplies as needed. Scans supply shelves according to established schedule. Fills replenishment lists created in MS4. Confirms replenishment lists in MS4. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Manual dexterity Must be service oriented and get along with others Ability to multi-task Must have effective trouble shooting and problem solving skills. Must read, write, and comprehend English Must be detail oriented MINIMUM REQUIREMENTS High school diploma or GED or Equivalent Certificate from an accredited program or higher
Feb 24, 2020
Cheyenne Regional Medical Center Wheatland
ROLE SUMMARY Works under the direct supervision of a registered nurse or other professional, offers compassionate care to all patients based on age-specific needs/expected outcomes, placing an emphasis on high quality, comprehensive treatment, by means of an interdisciplinary team and using a holistic approach. Provides personal care, homemaking, emotional, social and spiritual support to patients and families – regardless of race, age, sex, religion, handicap or ability to pay during all phases of illness and bereavement. CORE RESPONSIBILITIES Assists patient with personal care. Assists patient with transferring and ambulation. Assists patient with prescribed exercises and simple procedures which have been taught by appropriate professional personnel. Performs homemaking services which are essential to the patient’s care at home. Assists in maintaining a safe environment for the patient. Use safety and patient care equipment appropriately. Reinforce the safe use of equipment to the patient. Uses proper body mechanics when providing patient care/homemaking services. Use universal precautions in providing services. Recognize limitations and seek assistance as needed. Observes patient condition and immediately communicate changes/concerns. Records care given and pertinent changes in the patient’s condition on the Aide Flow Sheet. ROLE SPECIFIC RESPONSIBILITIES HOME CARE SCHEDULER: Schedules initial and continuous visits for intermittent and hourly programs across various disciplines. Abides by CMS rules and regulations to schedule supervisory visits for appropriate disciplines. Works closely with Intake RN and Billing specialist to ensure that visits are appropriately scheduled in accordance with payor preauthorization, CMS rules and provider orders. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Ability to interact positively with patients, patient’s families and staff so as to promote positive patient care Ability to be flexible with department needs. Communicates pertinent information to appropriate persons Ability to demonstrate sufficient dexterity to provide patient care. Ability to speak clearly for patient communication Ability to operate motor vehicle is necessary Must have available reliable transportation to and from assignments Must provide proof of insurance for personal vehicle used for transportation MINIMUM REQUIREMENTS High school diploma or GED Minimum of a current Wyoming Certified Nursing Assistant license upon start date AHA BLS Valid USA driver’s license Must have clean driving record that follows Cheyenne Regional Medical Center’s driving guidelines REQUIREMENTS AFTER START Additional home health / hospice training within 30 days of start date PREFERRED QUALIFICATIONS 1 year experience
Feb 24, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY The RN Clinic is responsible for providing primary care to patients, including assessment, treatment, care planning, and medical care evaluation. CORE RESPONSIBILITIES Obtains patient consent for care and ensures patient confidentiality. Obtains and documents health history, information on chief complaint, vital signs, and health risk factors and assesses condition. Provides patient care based on practice guidelines, standards of care, and federal/state laws and regulations. Executes prescribed treatments and medical interventions, administers prescribed medications, and monitors and documents treatment progress and patient response. Delegates as allowed under the Nurse Practice Act. Refers to/consults with physicians, other health providers, and community resources to prevent/resolve problems or concerns. Educates patients and families about health status, health maintenance, and management of conditions. Documents patient assessment and intervention data using established medical record forms/automated systems and documentation practices. Participates in multidisciplinary teams to improve patient care processes and outcomes. Tracks quality assurance data and monitors for acute and chronic care management. Maintains medical supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing orders for supplies; verifying receipt of supplies; and stocking exam rooms The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Understanding of health care technology, equipment, and supplies Familiarity with state law on nursing care, nurse practice guidelines, and clinic policies and procedures Knowledge of wellness/illness, growth and development, human behavior, psychosocial factors, and alternative health care treatments Knowledge of chart/medical record documentation requirements and federal/state laws related to release of health care information Skill in time management, problem solving, multitasking, prioritizing, and medical care coordination Skill in initiating appropriate crisis interventions and emergency response. Skill in patient triage in person and on the phone Ability to analyze options and then counsel patients and families about choices and make referrals to other providers and resources Ability to engage clients and families in the development and implementation of a care plan Ability to read and interpret physicians’ orders and notes from other providers Ability to calculate and administer drug dosages and injections and measure results MINIMUM REQUIREMENTS Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date Associate’s or Bachelor’s Degree from an accredited school of nursing AHA BLS Experience as required per clinic: Five years prior experience in outpatient nursing (preferably orthopedic) for John E. Winter Clinic Orthopedic Nurse Specialist OUTREACH ONLY REQUIREMENT: Valid USA driver’s license Must have clean driving record that follows Cheyenne Regional Medical Center’s driving guidelines PREFERRED QUALIFICATIONS Cardiac/vascular experience for Cheyenne Cardiology Clinic
Feb 24, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY The Registered Nurse assesses, plans, implements, evaluates and supervises individual patient care according to unit policies and procedures. Accepts responsibility for direction of co-workers in the implementation of care plans. May be required to work on other units according to distribution of staff and patients. CORE RESPONSIBILITIES Completes nursing assessment of patient and documents appropriately into patient chart. Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately. Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards. Documents training and competencies in electronic format. DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES ARU: Attends family conferences, patient care Conferences, and daily stand up meetings. CARE CLINIC, SAME DAY SURGERY, and PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice. CHARGE NURSE: Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes. Facilitates immediate and direct complaint intervention and resolution. Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system. Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes. Assists in the identification and management of staff, patient, and family educational needs. Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions. Possess the authority to send employees home in the interest of safe patient care. CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods. FORENSIC NURSING: Provides timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follows established forensic nursing protocols. Triages and assesses patients, provides prophylaxis for pregnancy and STI’s, coordinates medical and psychological care, provides advocacy, community resource and law enforcement referrals. Performs complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintains forensic nursing competences and participate in quality assurance projects, community education and peer review. HOSPICE: Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role. Attends the first available hospice volunteer training after acceptance of employment. HOSPITALIST: Integrates health care for clients from pre-admission to post-discharge. The nurse functions in structured and unstructured health care settings. The nurse utilizes independent nursing judgment when integrating health care. Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients. MEDICAL IMAGING: Procedural Nurse: Provides IV moderate sedation and pain relief. Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes. May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy. RESOURCE POOL: Floats within designated pod and clinical specialty. VASCULAR ACCESS NURSE: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrates effective leadership and professional skills according to Standards of Care Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes MINIMUM HIRING REQUIREMENTS Associate’s degree or higher from an accredited school of nursing Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool REQUIREMENTS TO BE COMPLETED ONCE HIRED: Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation. Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit. Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS, CPAN within 2 years, minimum of six months critical care experience PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within 6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Same Day Surgery – CAPA within 2 years, AHA ACLS within 1 year of hire. Telemetry – AHA ACLS within 1 year of hire PREFERRED QUALIFICATIONS Bachelor’s degree or higher from an accredited school of nursing
Feb 24, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY The Registered Nurse assesses, plans, implements, evaluates and supervises individual patient care according to unit policies and procedures. Accepts responsibility for direction of co-workers in the implementation of care plans. May be required to work on other units according to distribution of staff and patients. CORE RESPONSIBILITIES Completes nursing assessment of patient and documents appropriately into patient chart. Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately. Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards. Documents training and competencies in electronic format. DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES ARU: Attends family conferences, patient care Conferences, and daily stand up meetings. CARE CLINIC, SAME DAY SURGERY, and PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice. CHARGE NURSE: Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes. Facilitates immediate and direct complaint intervention and resolution. Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system. Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes. Assists in the identification and management of staff, patient, and family educational needs. Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions. Possess the authority to send employees home in the interest of safe patient care. CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods. FORENSIC NURSING: Provides timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follows established forensic nursing protocols. Triages and assesses patients, provides prophylaxis for pregnancy and STI’s, coordinates medical and psychological care, provides advocacy, community resource and law enforcement referrals. Performs complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintains forensic nursing competences and participate in quality assurance projects, community education and peer review. HOSPICE: Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role. Attends the first available hospice volunteer training after acceptance of employment. HOSPITALIST: Integrates health care for clients from pre-admission to post-discharge. The nurse functions in structured and unstructured health care settings. The nurse utilizes independent nursing judgment when integrating health care. Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients. MEDICAL IMAGING: Procedural Nurse: Provides IV moderate sedation and pain relief. Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes. May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy. RESOURCE POOL: Floats within designated pod and clinical specialty. VASCULAR ACCESS NURSE: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrates effective leadership and professional skills according to Standards of Care Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes MINIMUM HIRING REQUIREMENTS Associate’s degree or higher from an accredited school of nursing Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool REQUIREMENTS TO BE COMPLETED ONCE HIRED: Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation. Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit. Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS, CPAN within 2 years, minimum of six months critical care experience PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within 6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Same Day Surgery – CAPA within 2 years, AHA ACLS within 1 year of hire. Telemetry – AHA ACLS within 1 year of hire PREFERRED QUALIFICATIONS Bachelor’s degree or higher from an accredited school of nursing
Feb 24, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY The Registered Nurse assesses, plans, implements, evaluates and supervises individual patient care according to unit policies and procedures. Accepts responsibility for direction of co-workers in the implementation of care plans. May be required to work on other units according to distribution of staff and patients. CORE RESPONSIBILITIES Completes nursing assessment of patient and documents appropriately into patient chart. Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately. Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards. Documents training and competencies in electronic format. DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES ARU: Attends family conferences, patient care Conferences, and daily stand up meetings. CARE CLINIC, SAME DAY SURGERY, and PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice. CHARGE NURSE: Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes. Facilitates immediate and direct complaint intervention and resolution. Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system. Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes. Assists in the identification and management of staff, patient, and family educational needs. Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions. Possess the authority to send employees home in the interest of safe patient care. CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods. FORENSIC NURSING: Provides timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follows established forensic nursing protocols. Triages and assesses patients, provides prophylaxis for pregnancy and STI’s, coordinates medical and psychological care, provides advocacy, community resource and law enforcement referrals. Performs complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintains forensic nursing competences and participate in quality assurance projects, community education and peer review. HOSPICE: Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role. Attends the first available hospice volunteer training after acceptance of employment. HOSPITALIST: Integrates health care for clients from pre-admission to post-discharge. The nurse functions in structured and unstructured health care settings. The nurse utilizes independent nursing judgment when integrating health care. Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients. MEDICAL IMAGING: Procedural Nurse: Provides IV moderate sedation and pain relief. Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes. May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy. RESOURCE POOL: Floats within designated pod and clinical specialty. VASCULAR ACCESS NURSE: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrates effective leadership and professional skills according to Standards of Care Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes MINIMUM HIRING REQUIREMENTS Associate’s degree or higher from an accredited school of nursing Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool REQUIREMENTS TO BE COMPLETED ONCE HIRED: Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation. Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit. Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS, CPAN within 2 years, minimum of six months critical care experience PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within 6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Same Day Surgery – CAPA within 2 years, AHA ACLS within 1 year of hire. Telemetry – AHA ACLS within 1 year of hire PREFERRED QUALIFICATIONS Bachelor’s degree or higher from an accredited school of nursing
Feb 24, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY The Registered Nurse assesses, plans, implements, evaluates and supervises individual patient care according to unit policies and procedures. Accepts responsibility for direction of co-workers in the implementation of care plans. May be required to work on other units according to distribution of staff and patients. CORE RESPONSIBILITIES Completes nursing assessment of patient and documents appropriately into patient chart. Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately. Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards. Documents training and competencies in electronic format. DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES ARU: Attends family conferences, patient care Conferences, and daily stand up meetings. CARE CLINIC, SAME DAY SURGERY, and PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice. CHARGE NURSE: Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes. Facilitates immediate and direct complaint intervention and resolution. Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system. Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes. Assists in the identification and management of staff, patient, and family educational needs. Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions. Possess the authority to send employees home in the interest of safe patient care. CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods. FORENSIC NURSING: Provides timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follows established forensic nursing protocols. Triages and assesses patients, provides prophylaxis for pregnancy and STI’s, coordinates medical and psychological care, provides advocacy, community resource and law enforcement referrals. Performs complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintains forensic nursing competences and participate in quality assurance projects, community education and peer review. HOSPICE: Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role. Attends the first available hospice volunteer training after acceptance of employment. HOSPITALIST: Integrates health care for clients from pre-admission to post-discharge. The nurse functions in structured and unstructured health care settings. The nurse utilizes independent nursing judgment when integrating health care. Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients. MEDICAL IMAGING: Procedural Nurse: Provides IV moderate sedation and pain relief. Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes. May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy. RESOURCE POOL: Floats within designated pod and clinical specialty. VASCULAR ACCESS NURSE: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrates effective leadership and professional skills according to Standards of Care Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes MINIMUM HIRING REQUIREMENTS Associate’s degree or higher from an accredited school of nursing Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool REQUIREMENTS TO BE COMPLETED ONCE HIRED: Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation. Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit. Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS, CPAN within 2 years, minimum of six months critical care experience PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within 6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Same Day Surgery – CAPA within 2 years, AHA ACLS within 1 year of hire. Telemetry – AHA ACLS within 1 year of hire PREFERRED QUALIFICATIONS Bachelor’s degree or higher from an accredited school of nursing
Feb 24, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY Under the supervision of the Registered Nurse or Emergency Department Provider the Emergency Services Tech provides patient care and assists in performing assigned procedures within scope of training. CORE RESPONSIBILITIES 1. Responsible for performing assigned procedures including: electrocardiogram testing (EKG); wound cleansing and bandaging, vital sign measurements, specimen collection, intraosseus placement, bladder (Foley) catherization, and ultrasound intravenous placement. 2. Provide point of care testing including blood glucose, troponin, chem 8, and lactic acid. 3. Assist providers and nurses with patient exam and sterile procedures. 4. Perform fiberglass splints. 5. Provide training for orthopedic devices including crutch training, splint and sling care; perform orthopedic device care and cleaning. 6. Remove sutures and staples from wounds as directed. 7. Room patients and assist in monitoring condition; provides patient updates as warranted to appropriate healthcare provider. 8. Respond to traumas and codes to provide intubation assistance and compressions. 9. Responsible for cleaning and stocking supplies in patient rooms and department. 10. Document patient care and condition as appropriate. 11. Provide oxygen delivery including nasopharyngeal and oropharyngeal adjuncts. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES · Demonstrates knowledge of medical terminology · Demonstrates an independent work initiative, sound judgment and attention to detail · Strong critical thinking and problem solving skills · Ability to perform calculations · Excellent interpersonal and communication skills MINIMUM REQUIREMENTS High school diploma or GED or Equivalent Certificate from an accredited program or higher Wyoming EMT-B certificate, Wyoming A-EMT certificate, Wyoming EMT-I, Wyoming Paramedic license, or NREMT AHA BLS PREFERRED QUALIFICATIONS National EMT certificate or National Paramedic license Prior experience in patient care setting
Feb 24, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY Under the supervision of the Registered Nurse or Emergency Department Provider the Emergency Services Tech provides patient care and assists in performing assigned procedures within scope of training. CORE RESPONSIBILITIES 1. Responsible for performing assigned procedures including: electrocardiogram testing (EKG); wound cleansing and bandaging, vital sign measurements, specimen collection, intraosseus placement, bladder (Foley) catherization, and ultrasound intravenous placement. 2. Provide point of care testing including blood glucose, troponin, chem 8, and lactic acid. 3. Assist providers and nurses with patient exam and sterile procedures. 4. Perform fiberglass splints. 5. Provide training for orthopedic devices including crutch training, splint and sling care; perform orthopedic device care and cleaning. 6. Remove sutures and staples from wounds as directed. 7. Room patients and assist in monitoring condition; provides patient updates as warranted to appropriate healthcare provider. 8. Respond to traumas and codes to provide intubation assistance and compressions. 9. Responsible for cleaning and stocking supplies in patient rooms and department. 10. Document patient care and condition as appropriate. 11. Provide oxygen delivery including nasopharyngeal and oropharyngeal adjuncts. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES · Demonstrates knowledge of medical terminology · Demonstrates an independent work initiative, sound judgment and attention to detail · Strong critical thinking and problem solving skills · Ability to perform calculations · Excellent interpersonal and communication skills MINIMUM REQUIREMENTS High school diploma or GED or Equivalent Certificate from an accredited program or higher Wyoming EMT-B certificate, Wyoming A-EMT certificate, Wyoming EMT-I, Wyoming Paramedic license, or NREMT AHA BLS PREFERRED QUALIFICATIONS National EMT certificate or National Paramedic license Prior experience in patient care setting
Feb 24, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY Under the supervision of the Registered Nurse or Emergency Department Provider the Emergency Services Tech provides patient care and assists in performing assigned procedures within scope of training. CORE RESPONSIBILITIES 1. Responsible for performing assigned procedures including: electrocardiogram testing (EKG); wound cleansing and bandaging, vital sign measurements, specimen collection, intraosseus placement, bladder (Foley) catherization, and ultrasound intravenous placement. 2. Provide point of care testing including blood glucose, troponin, chem 8, and lactic acid. 3. Assist providers and nurses with patient exam and sterile procedures. 4. Perform fiberglass splints. 5. Provide training for orthopedic devices including crutch training, splint and sling care; perform orthopedic device care and cleaning. 6. Remove sutures and staples from wounds as directed. 7. Room patients and assist in monitoring condition; provides patient updates as warranted to appropriate healthcare provider. 8. Respond to traumas and codes to provide intubation assistance and compressions. 9. Responsible for cleaning and stocking supplies in patient rooms and department. 10. Document patient care and condition as appropriate. 11. Provide oxygen delivery including nasopharyngeal and oropharyngeal adjuncts. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES · Demonstrates knowledge of medical terminology · Demonstrates an independent work initiative, sound judgment and attention to detail · Strong critical thinking and problem solving skills · Ability to perform calculations · Excellent interpersonal and communication skills MINIMUM REQUIREMENTS High school diploma or GED or Equivalent Certificate from an accredited program or higher Wyoming EMT-B certificate, Wyoming A-EMT certificate, Wyoming EMT-I, Wyoming Paramedic license, or NREMT AHA BLS PREFERRED QUALIFICATIONS National EMT certificate or National Paramedic license Prior experience in patient care setting
Feb 24, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY Under the supervision of the Registered Nurse or Emergency Department Provider the Emergency Services Tech provides patient care and assists in performing assigned procedures within scope of training. CORE RESPONSIBILITIES 1. Responsible for performing assigned procedures including: electrocardiogram testing (EKG); wound cleansing and bandaging, vital sign measurements, specimen collection, intraosseus placement, bladder (Foley) catherization, and ultrasound intravenous placement. 2. Provide point of care testing including blood glucose, troponin, chem 8, and lactic acid. 3. Assist providers and nurses with patient exam and sterile procedures. 4. Perform fiberglass splints. 5. Provide training for orthopedic devices including crutch training, splint and sling care; perform orthopedic device care and cleaning. 6. Remove sutures and staples from wounds as directed. 7. Room patients and assist in monitoring condition; provides patient updates as warranted to appropriate healthcare provider. 8. Respond to traumas and codes to provide intubation assistance and compressions. 9. Responsible for cleaning and stocking supplies in patient rooms and department. 10. Document patient care and condition as appropriate. 11. Provide oxygen delivery including nasopharyngeal and oropharyngeal adjuncts. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES · Demonstrates knowledge of medical terminology · Demonstrates an independent work initiative, sound judgment and attention to detail · Strong critical thinking and problem solving skills · Ability to perform calculations · Excellent interpersonal and communication skills MINIMUM REQUIREMENTS High school diploma or GED or Equivalent Certificate from an accredited program or higher Wyoming EMT-B certificate, Wyoming A-EMT certificate, Wyoming EMT-I, Wyoming Paramedic license, or NREMT AHA BLS PREFERRED QUALIFICATIONS National EMT certificate or National Paramedic license Prior experience in patient care setting
Feb 24, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY Under the supervision of the Registered Nurse or Emergency Department Provider the Emergency Services Tech provides patient care and assists in performing assigned procedures within scope of training. CORE RESPONSIBILITIES 1. Responsible for performing assigned procedures including: electrocardiogram testing (EKG); wound cleansing and bandaging, vital sign measurements, specimen collection, intraosseus placement, bladder (Foley) catherization, and ultrasound intravenous placement. 2. Provide point of care testing including blood glucose, troponin, chem 8, and lactic acid. 3. Assist providers and nurses with patient exam and sterile procedures. 4. Perform fiberglass splints. 5. Provide training for orthopedic devices including crutch training, splint and sling care; perform orthopedic device care and cleaning. 6. Remove sutures and staples from wounds as directed. 7. Room patients and assist in monitoring condition; provides patient updates as warranted to appropriate healthcare provider. 8. Respond to traumas and codes to provide intubation assistance and compressions. 9. Responsible for cleaning and stocking supplies in patient rooms and department. 10. Document patient care and condition as appropriate. 11. Provide oxygen delivery including nasopharyngeal and oropharyngeal adjuncts. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES · Demonstrates knowledge of medical terminology · Demonstrates an independent work initiative, sound judgment and attention to detail · Strong critical thinking and problem solving skills · Ability to perform calculations · Excellent interpersonal and communication skills MINIMUM REQUIREMENTS High school diploma or GED or Equivalent Certificate from an accredited program or higher Wyoming EMT-B certificate, Wyoming A-EMT certificate, Wyoming EMT-I, Wyoming Paramedic license, or NREMT AHA BLS PREFERRED QUALIFICATIONS National EMT certificate or National Paramedic license Prior experience in patient care setting
Feb 24, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY Under the supervision of the Registered Nurse or Emergency Department Provider the Emergency Services Tech provides patient care and assists in performing assigned procedures within scope of training. CORE RESPONSIBILITIES 1. Responsible for performing assigned procedures including: electrocardiogram testing (EKG); wound cleansing and bandaging, vital sign measurements, specimen collection, intraosseus placement, bladder (Foley) catherization, and ultrasound intravenous placement. 2. Provide point of care testing including blood glucose, troponin, chem 8, and lactic acid. 3. Assist providers and nurses with patient exam and sterile procedures. 4. Perform fiberglass splints. 5. Provide training for orthopedic devices including crutch training, splint and sling care; perform orthopedic device care and cleaning. 6. Remove sutures and staples from wounds as directed. 7. Room patients and assist in monitoring condition; provides patient updates as warranted to appropriate healthcare provider. 8. Respond to traumas and codes to provide intubation assistance and compressions. 9. Responsible for cleaning and stocking supplies in patient rooms and department. 10. Document patient care and condition as appropriate. 11. Provide oxygen delivery including nasopharyngeal and oropharyngeal adjuncts. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES · Demonstrates knowledge of medical terminology · Demonstrates an independent work initiative, sound judgment and attention to detail · Strong critical thinking and problem solving skills · Ability to perform calculations · Excellent interpersonal and communication skills MINIMUM REQUIREMENTS High school diploma or GED or Equivalent Certificate from an accredited program or higher Wyoming EMT-B certificate, Wyoming A-EMT certificate, Wyoming EMT-I, Wyoming Paramedic license, or NREMT AHA BLS PREFERRED QUALIFICATIONS National EMT certificate or National Paramedic license Prior experience in patient care setting
Feb 24, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY The Registered Nurse assesses, plans, implements, evaluates and supervises individual patient care according to unit policies and procedures. Accepts responsibility for direction of co-workers in the implementation of care plans. May be required to work on other units according to distribution of staff and patients. CORE RESPONSIBILITIES Completes nursing assessment of patient and documents appropriately into patient chart. Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately. Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards. Documents training and competencies in electronic format. DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES ARU: Attends family conferences, patient care Conferences, and daily stand up meetings. CARE CLINIC, SAME DAY SURGERY, and PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice. CHARGE NURSE: Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes. Facilitates immediate and direct complaint intervention and resolution. Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system. Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes. Assists in the identification and management of staff, patient, and family educational needs. Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions. Possess the authority to send employees home in the interest of safe patient care. CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods. FORENSIC NURSING: Provides timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follows established forensic nursing protocols. Triages and assesses patients, provides prophylaxis for pregnancy and STI’s, coordinates medical and psychological care, provides advocacy, community resource and law enforcement referrals. Performs complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintains forensic nursing competences and participate in quality assurance projects, community education and peer review. HOSPICE: Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role. Attends the first available hospice volunteer training after acceptance of employment. HOSPITALIST: Integrates health care for clients from pre-admission to post-discharge. The nurse functions in structured and unstructured health care settings. The nurse utilizes independent nursing judgment when integrating health care. Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients. MEDICAL IMAGING: Procedural Nurse: Provides IV moderate sedation and pain relief. Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes. May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy. RESOURCE POOL: Floats within designated pod and clinical specialty. VASCULAR ACCESS NURSE: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrates effective leadership and professional skills according to Standards of Care Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes MINIMUM HIRING REQUIREMENTS Associate’s degree or higher from an accredited school of nursing Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool REQUIREMENTS TO BE COMPLETED ONCE HIRED: Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation. Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit. Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS, CPAN within 2 years, minimum of six months critical care experience PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within 6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Same Day Surgery – CAPA within 2 years, AHA ACLS within 1 year of hire. Telemetry – AHA ACLS within 1 year of hire PREFERRED QUALIFICATIONS Bachelor’s degree or higher from an accredited school of nursing
Feb 24, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY The Registered Nurse assesses, plans, implements, evaluates and supervises individual patient care according to unit policies and procedures. Accepts responsibility for direction of co-workers in the implementation of care plans. May be required to work on other units according to distribution of staff and patients. CORE RESPONSIBILITIES Completes nursing assessment of patient and documents appropriately into patient chart. Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately. Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards. Documents training and competencies in electronic format. DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES ARU: Attends family conferences, patient care Conferences, and daily stand up meetings. CARE CLINIC, SAME DAY SURGERY, and PACU: Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice. CHARGE NURSE: Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes. Facilitates immediate and direct complaint intervention and resolution. Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system. Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes. Assists in the identification and management of staff, patient, and family educational needs. Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions. Possess the authority to send employees home in the interest of safe patient care. CLINICAL EDUCATION: Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods. FORENSIC NURSING: Provides timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follows established forensic nursing protocols. Triages and assesses patients, provides prophylaxis for pregnancy and STI’s, coordinates medical and psychological care, provides advocacy, community resource and law enforcement referrals. Performs complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintains forensic nursing competences and participate in quality assurance projects, community education and peer review. HOSPICE: Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role. Attends the first available hospice volunteer training after acceptance of employment. HOSPITALIST: Integrates health care for clients from pre-admission to post-discharge. The nurse functions in structured and unstructured health care settings. The nurse utilizes independent nursing judgment when integrating health care. Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients. MEDICAL IMAGING: Procedural Nurse: Provides IV moderate sedation and pain relief. Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes. May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy. RESOURCE POOL: Floats within designated pod and clinical specialty. VASCULAR ACCESS NURSE: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrates effective leadership and professional skills according to Standards of Care Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes MINIMUM HIRING REQUIREMENTS Associate’s degree or higher from an accredited school of nursing Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool REQUIREMENTS TO BE COMPLETED ONCE HIRED: Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation. Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit. Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC or AHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS, CPAN within 2 years, minimum of six months critical care experience PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within 6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Same Day Surgery – CAPA within 2 years, AHA ACLS within 1 year of hire. Telemetry – AHA ACLS within 1 year of hire PREFERRED QUALIFICATIONS Bachelor’s degree or higher from an accredited school of nursing
Feb 24, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY Provides basic patient care under the direct supervision of a Registered Nurse. Assesses, plans, implements and evaluates individual patient care within the scope of his/her training and experience. CORE RESPONSIBILITIES Provides direct patient care including but not limited to assistance with bathing, eating, dressing, and walking patients. Keeps record of care given. Takes vital signs (temperature, blood pressure, pulse, and respiratory rate) when appropriate. Turns and repositions bedridden patients to prevent breakdown of their skin. Changes bed linens as necessary. Transports patients and equipment as needed within the facility. Monitors patients and reports any variances to the RN for further assessment. May monitor unit camera as needed and notify staff of patient activity. Works collaboratively with the RN in charge to meet physicians, coworkers, management and other department needs. May provide unit support as needed, which may include answering and relaying patient calls, accepting and relaying other communications, transcribing physician orders, performing clerical tasks, completing and maintaining reports and records, or ordering supplies. Completes mandatory education and contact education requirements including 12 CEUs per year. I understand that it is not within my scope of practice to handle any medications that I might inadvertently come in contact with, including medications delivered in the pneumatic tube system. If I do come in contact with medications I know to alert a licensed employee for them to handle. ROLE SPECIFIC RESPONSIBILITIES CNA/SITTER: Assigned to provide 1:1 observation for patient safety. Receives report from primary nurses, including reason(s) for requiring additional observation, appropriate interventions, ADLS for the shift, and any other pertinent information relevant to the care of the patient. DEPARTMENT SPECIFIC RESPONSIBILITIES: HOSPITALIST: Makes follow-up appointments for patients. Responsible for prior authorization paperwork under the direction of physicians and RNs. SAME DAY SURGERY: Applies SCD’s, toilets, stocks block carts, rooms, turn over rooms, oxygen tank management, and other department needs to assist in patient care and throughput. PACU: Applies SCD’s, measure I&O’s, event patients in and out of Pre-op/PACU in EPIC, form management, transporting patients throughout hospital, stock department and blanket warmer, orders supplies, inputs work orders, bay turnover, oxygen tank management, and other department needs to assist in patient care and throughput. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrated knowledge of medical terminology Demonstrate an independent work initiative, sound judgment and attention to detail MINIMUM REQUIREMENTS High school diploma (or Equivalent Certificate from an accredited program) or higher degree Minimum of a current Wyoming Certified Nursing Assistant license upon start date AHA BLS DEPARTMENT SPECIFIC MINIMUM REQUIREMENTS PACU: 6 months recent acute care CNA experience PREFERRED QUALIFICATIONS Prior acute care experience 6 months experience as a CNA
Feb 21, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY Provides basic patient care under the direct supervision of a Registered Nurse. Assesses, plans, implements and evaluates individual patient care within the scope of his/her training and experience. CORE RESPONSIBILITIES Provides direct patient care including but not limited to assistance with bathing, eating, dressing, and walking patients. Keeps record of care given. Takes vital signs (temperature, blood pressure, pulse, and respiratory rate) when appropriate. Turns and repositions bedridden patients to prevent breakdown of their skin. Changes bed linens as necessary. Transports patients and equipment as needed within the facility. Monitors patients and reports any variances to the RN for further assessment. May monitor unit camera as needed and notify staff of patient activity. Works collaboratively with the RN in charge to meet physicians, coworkers, management and other department needs. May provide unit support as needed, which may include answering and relaying patient calls, accepting and relaying other communications, transcribing physician orders, performing clerical tasks, completing and maintaining reports and records, or ordering supplies. Completes mandatory education and contact education requirements including 12 CEUs per year. I understand that it is not within my scope of practice to handle any medications that I might inadvertently come in contact with, including medications delivered in the pneumatic tube system. If I do come in contact with medications I know to alert a licensed employee for them to handle. ROLE SPECIFIC RESPONSIBILITIES CNA/SITTER: Assigned to provide 1:1 observation for patient safety. Receives report from primary nurses, including reason(s) for requiring additional observation, appropriate interventions, ADLS for the shift, and any other pertinent information relevant to the care of the patient. DEPARTMENT SPECIFIC RESPONSIBILITIES: HOSPITALIST: Makes follow-up appointments for patients. Responsible for prior authorization paperwork under the direction of physicians and RNs. SAME DAY SURGERY: Applies SCD’s, toilets, stocks block carts, rooms, turn over rooms, oxygen tank management, and other department needs to assist in patient care and throughput. PACU: Applies SCD’s, measure I&O’s, event patients in and out of Pre-op/PACU in EPIC, form management, transporting patients throughout hospital, stock department and blanket warmer, orders supplies, inputs work orders, bay turnover, oxygen tank management, and other department needs to assist in patient care and throughput. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrated knowledge of medical terminology Demonstrate an independent work initiative, sound judgment and attention to detail MINIMUM REQUIREMENTS High school diploma (or Equivalent Certificate from an accredited program) or higher degree Minimum of a current Wyoming Certified Nursing Assistant license upon start date AHA BLS DEPARTMENT SPECIFIC MINIMUM REQUIREMENTS PACU: 6 months recent acute care CNA experience PREFERRED QUALIFICATIONS Prior acute care experience 6 months experience as a CNA
Feb 21, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY Provides basic patient care under the direct supervision of a Registered Nurse. Assesses, plans, implements and evaluates individual patient care within the scope of his/her training and experience. CORE RESPONSIBILITIES Provides direct patient care including but not limited to assistance with bathing, eating, dressing, and walking patients. Keeps record of care given. Takes vital signs (temperature, blood pressure, pulse, and respiratory rate) when appropriate. Turns and repositions bedridden patients to prevent breakdown of their skin. Changes bed linens as necessary. Transports patients and equipment as needed within the facility. Monitors patients and reports any variances to the RN for further assessment. May monitor unit camera as needed and notify staff of patient activity. Works collaboratively with the RN in charge to meet physicians, coworkers, management and other department needs. May provide unit support as needed, which may include answering and relaying patient calls, accepting and relaying other communications, transcribing physician orders, performing clerical tasks, completing and maintaining reports and records, or ordering supplies. Completes mandatory education and contact education requirements including 12 CEUs per year. I understand that it is not within my scope of practice to handle any medications that I might inadvertently come in contact with, including medications delivered in the pneumatic tube system. If I do come in contact with medications I know to alert a licensed employee for them to handle. ROLE SPECIFIC RESPONSIBILITIES CNA/SITTER: Assigned to provide 1:1 observation for patient safety. Receives report from primary nurses, including reason(s) for requiring additional observation, appropriate interventions, ADLS for the shift, and any other pertinent information relevant to the care of the patient. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrated knowledge of medical terminology Demonstrate an independent work initiative, sound judgment and attention to detail MINIMUM REQUIREMENTS High school diploma (or Equivalent Certificate from an accredited program) or higher degree Minimum of a current Wyoming Certified Nursing Assistant license upon start date AHA BLS PREFERRED QUALIFICATIONS Prior acute care experience 6 months experience as a CNA
Feb 21, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY Works under the direct supervision of a registered nurse or other professional, offers compassionate care to all patients based on age-specific needs/expected outcomes, placing an emphasis on high quality, comprehensive treatment, by means of an interdisciplinary team and using a holistic approach. Provides personal care, homemaking, emotional, social and spiritual support to patients and families – regardless of race, age, sex, religion, handicap or ability to pay during all phases of illness and bereavement. CORE RESPONSIBILITIES Assists patient with personal care. Assists patient with transferring and ambulation. Assists patient with prescribed exercises and simple procedures which have been taught by appropriate professional personnel. Performs homemaking services which are essential to the patient’s care at home. Assists in maintaining a safe environment for the patient. Use safety and patient care equipment appropriately. Reinforce the safe use of equipment to the patient. Uses proper body mechanics when providing patient care/homemaking services. Use universal precautions in providing services. Recognize limitations and seek assistance as needed. Observes patient condition and immediately communicate changes/concerns. Records care given and pertinent changes in the patient’s condition on the Aide Flow Sheet. ROLE SPECIFIC RESPONSIBILITIES HOME CARE SCHEDULER: Schedules initial and continuous visits for intermittent and hourly programs across various disciplines. Abides by CMS rules and regulations to schedule supervisory visits for appropriate disciplines. Works closely with Intake RN and Billing specialist to ensure that visits are appropriately scheduled in accordance with payor preauthorization, CMS rules and provider orders. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Ability to interact positively with patients, patient’s families and staff so as to promote positive patient care Ability to be flexible with department needs. Communicates pertinent information to appropriate persons Ability to demonstrate sufficient dexterity to provide patient care. Ability to speak clearly for patient communication Ability to operate motor vehicle is necessary MINIMUM REQUIREMENTS High school diploma or GED Minimum of a current Wyoming Certified Nursing Assistant license upon start date with additional home health / hospice training AHA BLS Valid USA driver’s license Must have clean driving record that follows Cheyenne Regional Medical Center’s driving guidelines PREFERRED QUALIFICATIONS 1 year experience
Feb 21, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY Provides basic patient care under the direct supervision of a Registered Nurse. Assesses, plans, implements and evaluates individual patient care within the scope of his/her training and experience. CORE RESPONSIBILITIES Provides direct patient care including but not limited to assistance with bathing, eating, dressing, and walking patients. Keeps record of care given. Takes vital signs (temperature, blood pressure, pulse, and respiratory rate) when appropriate. Turns and repositions bedridden patients to prevent breakdown of their skin. Changes bed linens as necessary. Transports patients and equipment as needed within the facility. Monitors patients and reports any variances to the RN for further assessment. May monitor unit camera as needed and notify staff of patient activity. Works collaboratively with the RN in charge to meet physicians, coworkers, management and other department needs. May provide unit support as needed, which may include answering and relaying patient calls, accepting and relaying other communications, transcribing physician orders, performing clerical tasks, completing and maintaining reports and records, or ordering supplies. Completes mandatory education and contact education requirements including 12 CEUs per year. I understand that it is not within my scope of practice to handle any medications that I might inadvertently come in contact with, including medications delivered in the pneumatic tube system. If I do come in contact with medications I know to alert a licensed employee for them to handle. ROLE SPECIFIC RESPONSIBILITIES CNA/SITTER: Assigned to provide 1:1 observation for patient safety. Receives report from primary nurses, including reason(s) for requiring additional observation, appropriate interventions, ADLS for the shift, and any other pertinent information relevant to the care of the patient. DEPARTMENT SPECIFIC RESPONSIBILITIES: HOSPITALIST: Makes follow-up appointments for patients. Responsible for prior authorization paperwork under the direction of physicians and RNs. SAME DAY SURGERY: Applies SCD’s, toilets, stocks block carts, rooms, turn over rooms, oxygen tank management, and other department needs to assist in patient care and throughput. PACU: Applies SCD’s, measure I&O’s, event patients in and out of Pre-op/PACU in EPIC, form management, transporting patients throughout hospital, stock department and blanket warmer, orders supplies, inputs work orders, bay turnover, oxygen tank management, and other department needs to assist in patient care and throughput. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrated knowledge of medical terminology Demonstrate an independent work initiative, sound judgment and attention to detail MINIMUM REQUIREMENTS High school diploma (or Equivalent Certificate from an accredited program) or higher degree Minimum of a current Wyoming Certified Nursing Assistant license upon start date AHA BLS DEPARTMENT SPECIFIC MINIMUM REQUIREMENTS PACU: 6 months recent acute care CNA experience PREFERRED QUALIFICATIONS Prior acute care experience 6 months experience as a CNA
Feb 21, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY Provides basic patient care under the direct supervision of a Registered Nurse. Assesses, plans, implements and evaluates individual patient care within the scope of his/her training and experience. CORE RESPONSIBILITIES Provides direct patient care including but not limited to assistance with bathing, eating, dressing, and walking patients. Keeps record of care given. Takes vital signs (temperature, blood pressure, pulse, and respiratory rate) when appropriate. Turns and repositions bedridden patients to prevent breakdown of their skin. Changes bed linens as necessary. Transports patients and equipment as needed within the facility. Monitors patients and reports any variances to the RN for further assessment. May monitor unit camera as needed and notify staff of patient activity. Works collaboratively with the RN in charge to meet physicians, coworkers, management and other department needs. May provide unit support as needed, which may include answering and relaying patient calls, accepting and relaying other communications, transcribing physician orders, performing clerical tasks, completing and maintaining reports and records, or ordering supplies. Completes mandatory education and contact education requirements including 12 CEUs per year. I understand that it is not within my scope of practice to handle any medications that I might inadvertently come in contact with, including medications delivered in the pneumatic tube system. If I do come in contact with medications I know to alert a licensed employee for them to handle. ROLE SPECIFIC RESPONSIBILITIES CNA/SITTER: Assigned to provide 1:1 observation for patient safety. Receives report from primary nurses, including reason(s) for requiring additional observation, appropriate interventions, ADLS for the shift, and any other pertinent information relevant to the care of the patient. DEPARTMENT SPECIFIC RESPONSIBILITIES: HOSPITALIST: Makes follow-up appointments for patients. Responsible for prior authorization paperwork under the direction of physicians and RNs. SAME DAY SURGERY: Applies SCD’s, toilets, stocks block carts, rooms, turn over rooms, oxygen tank management, and other department needs to assist in patient care and throughput. PACU: Applies SCD’s, measure I&O’s, event patients in and out of Pre-op/PACU in EPIC, form management, transporting patients throughout hospital, stock department and blanket warmer, orders supplies, inputs work orders, bay turnover, oxygen tank management, and other department needs to assist in patient care and throughput. The above statements are intended to describe the general nature and level of work performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned. SKILLS, KNOWLEDGE, AND ABILITIES Demonstrated knowledge of medical terminology Demonstrate an independent work initiative, sound judgment and attention to detail MINIMUM REQUIREMENTS High school diploma (or Equivalent Certificate from an accredited program) or higher degree Minimum of a current Wyoming Certified Nursing Assistant license upon start date AHA BLS DEPARTMENT SPECIFIC MINIMUM REQUIREMENTS PACU: 6 months recent acute care CNA experience PREFERRED QUALIFICATIONS Prior acute care experience 6 months experience as a CNA
Feb 21, 2020
Cheyenne Regional Medical Center Cheyenne
ROLE SUMMARY The RN Case Manager role 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. The nurse has knowledge of and utilizes appropriate age-related patient care protocols relating to the physical and psychological needs of neonatal, pediatric, adolescent, adult and geriatric patients. CORE RESPONSIBILITIES 1. Coordinates development, implementation, monitoring and modifying of an individual’s plan of care through an interdisciplinary and collaborative team process. 2. Manages individuals with focus on high risk individuals/populations across the continuum of care. 3. Participates in resource/utilization management by maintaining expertise on benefits, reimbursement and contract/regulation changes of managed care, Medicare, Medicaid and commercial payers to allow optimization of reimbursement on a case-by-case basis. 4. Documents InterQual criteria in clinical terms in patient’s record to validate patient meets criteria for admission, continued stay and discharge. 5. Coordinates patient/family conferences for patients with extended length of stay or complicated needs as indicated. 6. Identifies, analyzes, and reports Case Management findings to facilitate performance improvement through accurate preparation and maintenance of reports, records and statistics. 7. Coordinates and communicates care and continuum planning in collaboration with the patient, family, physician, members of the multidisciplinary team and payers assuring that individuals are treated at the appropriate level of care across the continuum. 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 communicate effectively and interact positively with patient, patient’s family, staff and physicians so as to promote positive patient care Ability to function independently. Computer knowledge Ability to adapt to flexible work routine/schedule Knowledge of the hospital structure, nursing policy and procedures, billing process, DRGs, and Carepaths MINIMUM REQUIREMENTS Minimum of a current Wyoming Registered Nurse License or enhanced Nurse Licensure (eNLC) upon start date Associate’s or Bachelor’s Degree from an accredited school of nursing AHA BLS Minimum of three years’ experience in hospital nursing PREFERRED QUALIFICATIONS Bachelor’s degree from an accredited school of nursing Case Management certification
Feb 21, 2020