Intermountain - 2600 Wilson Street
Job Location :
Miles City,MT, USA
Posted on :
2025-09-10T06:22:13Z
Job Description :
Certification Details- BLS
- Montana State RN Licensure
Job Details- The RN utilizes an interpersonal process that uniquely focuses on the total individual and his/her role in their family, culture and society.
- The RN utilizes the nursingprocess, which includes assessment, diagnosis, planning, implementation and evaluation.
- The RN fulfills a resident advocacy role by ensuring the resident and/or their representative has adequate information to make health decisions; by coordinating total care; and by working with the resident to achieve or maintain their highest practicable level of function.
- The RN is guided by the substantial specialized knowledge of nursing based on the physiological and psychological sciences.
- The RN ensures that the quality of resident care meets legal and professional standards and also acts as a role model to other members of the health care team.
- Completes holistic, age-specific admission history, physical assessment and nursing plan of care on all assigned residents in an ongoing manner to monitor for deviations.
- Analyzes and incorporates clinical data (i.e. lab, x-ray, and all diagnostics) to formulate an individualized plan of care.
- Identifies and documents residents at risk for nutritional and functional status.
- Identifies and reports signs/symptoms of neglect/abuse related to child, domestic or elder abuse.
- Sets priorities for and reviews daily plan of care, in collaboration with resident/family/significant other and other healthcare disciplines.
- Delegation to team members is based on resident needs, continuity of care, staff and knowledge.
- Communicates with physician to ensure coordination of medical and nursing plan of care.
- Demonstrates competence in performing technical skills.
- Proactively recognizes and demonstrates ability to manage urgent/emergent resident care situations.
- Demonstrates knowledge and technical competence in preparation and administration of medications and IV's per scope of practice and hospital policy.
- Documents nursing interventions, residents' response to care, and resident outcomes.
- Evaluates data to revise the plan of care to meet the changing needs of the resident.
- Evaluates response to interventions against expected norms for age and development.
- Identifies and documents resident/family learning needs and provides education, based on assessment in collaboration and coordination with resident, family and interdisciplinary team members.
- Identifies and documents discharge planning needs.
- Coordinates or delegates discharge activities: i.e. completes or validates transfer/discharge documents, instructions related to medications, activity, wound care and follow-up appointments.
- Documents resident/family response to education.
- Maintains working knowledge of CMS regulations so that documentation supports and reflects compliance.
- Maintains working knowledge of Medicare skilled and MDS criteria so that documentation supports the need for care as well as reflects resident status.
- Incorporates resident needs and preferences into organized, efficient delivery of care by a team assigned for daily cares and delegates tasks appropriately.
- Supervises, coaches, counsels, and evaluates performance of assigned C.N.A. staff.
Job Requirements- Able to read, write at a level to fulfill documentation requirements.
- Physical demands include standing, walking, sitting, pushing (100+ lbs), pulling (100+ lbs), lifting, carrying, stooping, kneeling, crouching, reaching, filing, typing, xeroxing, talking, hearing, color vision.
- Lifting objects over 100 lbs with frequent lifting/carrying up to 50 lbs.
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