Ambulatory Care Nurse I - No Experience Required

Job Summary and Responsibilities

This position may qualify for up to $20,000 sign on bonus!

Works under the supervision of the Director of Nursing. The Registered Nurse plans, oversees and evaluates patient care utilizing the Nursing Process (assessment, planning, implementation and evaluation) while maintaining the standards of State Nurse Practice Act, and facility policy and procedure, and the Mission and Philosophy of Community Memorial Hospital.

Admissions: Notifies Business Office of an admission as soon as possible; Medical Providers orders completed accurately within 1.5 hours of admission; Informs Med. Nurse and Pharmacy of admission and medication requirements; Patient assessment completed within 1 hour of admission; Kardex completed and chart assembled accurately within 2 hours of admission; Notify appropriate department for needed treatment within 1 hour, (physical therapy, lab, x-ray).

Care Plans: Develop care plans on admission; Changes in patient conditions and care are updated on care plans; Level of care updated on care plans; Gives report to oncoming staff to assure continuation of care.

Assessments: Assessments performed on admission on all levels of care; Assessments performed every shift for acute patient; Assessments performed on swing bed patient per protocol; Assessments performed when notified of a change in patient condition by any member of the nursing staff; Notifies provider of changes in patient’s condition; Informs family members or POA of any changes in patient’s condition.

Medication Dispense: Pharmacy notified of new admits and changes in med orders; Dispenses oral, IV, SQ and IM medications according to orders and charted accordingly; Inhalation Therapy given according to orders and charted accordingly; Medication errors avoided but reported immediately when discovered; Assists Med. Nurses as needed; Narcotics Log accurately completed according to protocol.

Discharges or change in level of care: Changes in patient level of care status is reported to Business Office and Social Services via voice mail as soon as possible or end of business day; Patient notified 48 hours prior when change in level of care planned and appropriate paperwork completed; Pharmacy notified of change in patient care level or discharge; Upon discharge, orders explained to patient or appropriate caregiver and follow-up appointments and prescriptions arrangements made if necessary.

Treatment/Emergency Room Care: Follows protocols when caring for outpatient; Performs primary assessment on all patients and notifies on-call provider with 20 minutes; Repeats assessments after treatment or every 20 min; Gathers updated admission information regarding insurance and biographical information; Calls in additional help when needed especially relating to code blue or trauma codes; Completes appropriate charting and completes transfer paperwork, when necessary.

Skills: Establishes Intravenous sites utilizing aseptic technique with a success rate of 80%; Places urinary catheter utilizing sterile technique with 90% success rate; Places nasogastric tube as ordered and performs airway suction with success; Maintains Gastric tube feeding sites according to protocol; Dressing changes performed according to medical provider orders.

Paperwork: Document on acute patient per shift and as needed; Document on swing bed patients per protocol or any changes in patient condition; Updates patient Kardex as necessary; Performs outdates checks and equipment checks according to schedule and documents.

Infection Control: Records in infection control log any incidents of infectious condition on any patients; Notifies nursing staff of isolation needs and assures appropriate personal protection equipment made available.

Education and staff relationship: Gathers a minimum of 12 hours of continuing education; Brings to nursing staff information received from outside workshops; Encouraged to participate in additional education opportunities including PALS, TNCC etc; Supports nursing committees such as ER committee, trauma committee, fall committee, care conference, infection control, etc; Communicates with other members of shift nursing staff as well as other departments.

Job Requirements

Education: Nursing degree from an approved school of nursing.

Licensure: License to practice professional nursing in the state of North Dakota. (Licensed to practice registered nursing in the state of ND or in a compact state. Graduate Nurse (G.N.) must practice under the supervision of a registered nurse while the work authorization to practice is valid.)

Experience: No previous experience required.

Where You’ll Work

Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come.

CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota.

CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care.

Pay Range

$33.36 - $47.12 /hour

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