***Registered Nurse*** Must be RN

Roundup Memorial Healthcare
Roundup, MT, US
Nov 16, 2018
Dec 15, 2018
Contract Type
Job Description



Registered Nurse
Critical Access Hospital & Emergency Department Non-Exempt



Director of Nursing Services None


Roundup Memorial Healthcare staff and customers Public, vendors, regulatory and accrediting agencies, and other healthcare providers

Under general supervision, utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes great responsibility and accountability for the quality of nursing care rendered. Directs the activities of nursing and ancillary caregivers while maintaining standards of professional care.


1. Supports and models behaviors consistent with the mission and philosophy of Roundup Memorial Healthcare; adheres to established policies and procedures and service expectations. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.

2. Utilizing a holistic approach and evidence based nursing practices, incorporates the nursing process into the plan of care for the patient/resident. Plan of care should include biophysical, psychosocial, environmental, self-care, educational, and discharge planning. Plans, organizes, implements, evaluates and documents safe therapeutic patient/resident care consistent with Roundup Memorial Healthcare values/goals and Roundup Memorial Healthcare departmental policies and procedures.
a) Gathers subjective and objective data through the performance of a nursing history and physical assessment as well as the gathering of information from the chart and other members of the health care team.
b) Analyzes the data and identifies actual/potential problems. Establishes priorities from the problem list, which will direct patient/resident care.
c) Establishes short and long-term goals and establishes interventions to be used to meet the goals.

d) Evaluates patient/resident response to care provided and documents the care and response to care in a concise, legible manner using the format designated by departmental protocols or appropriately in the electronic medical record.
e) Adheres to patient safety standards and identifies and anticipates problems and safety issues and initiates appropriate action.

3. Maintains appropriate skill/knowledge of application and patient/resident relevance of commonly used equipment specific to area; pharmacological application; application of laboratory values with disease process or physiological status.

4. Develops a discharge plan upon admission and throughout the stay in collaboration with the patient/resident, family, physician, and other healthcare team members.

5. Identifies learning needs of the patient/resident and/or family, assess the ability of patient/resident/family members to learn and learning readiness. Provides educational materials and experiences that will meet the educational, developmental, functional and/or ethnic needs of the patient/resident and/or family.

6. Provides an accurate account of patient/resident status to others responsible for the patients/residents care to help ensure continuity of care.

7. Demonstrates competency in psychosocial and psychomotor aspects of nursing.
Implements nursing actions by either direct care or delegation of that responsibility, based on level of acuity and individual patient need.
Understands and reacts effectively to unique needs of patients whose age may range from premature infant to elderly adult.
Implements the plan of care by provision of direct care or by delegation, based on the acuity of the patient/resident, the functional or developmental age of the patient/resident, and by the competencies exhibited by the nurse.

8. Analyzes and shares the practice implications of nursing research within specialty area. Evaluates nursing practice and nursing environment and contributes to the development of high standards to ensure quality care.

9. Responds to change in patient/resident care assignments and delegates patient/resident care safely and effectively.

10. Demonstrates an awareness of cost effective patient/resident care delivery.

11. Actively participates in professional development by attending educational program offerings. Attends staff meetings and in-services as required by Roundup Memorial Healthcare and by accrediting agencies

12. Delegates work assignments within the scope of practice to other team members (Certified Nursing Assistant, Licensed Practical Nurse, Graduate Nurse,) to meet the needs of the designated area and assists with the clinical education of students

13. Performs other duties as assigned or needed to meet the needs of the department/organization. Participates in special projects or assignments. Participates in on-call rotations for night, weekend and/or holiday support.


Customer service techniques and Personal Service Excellence skills
Regulatory standards (i.e., Joint Commission, OSHA, Patient Safety Standards, etc.)
RMH Code of Business Conduct
RMH Corporate Compliance Program
HIPAA and confidentiality requirements
Personal computers, hardware and software
Nursing practices, planning and assessment within scope of practice
American Nurses Association (ANA) Code of Ethics
Patient safety standards

Basic written and oral communication skills and interviewing skills
Interpersonal skills necessary in order to instruct and comfort patients/residents and their families and maintain effective contacts with a variety of hospital personnel and physicians
Analytical skills necessary in order to prepare evidence-based nursing care plans, coordinate and implement effective nursing care and to develop solutions to problems concerning patients/residents mental or physical well-being

Incorporates population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant through geriatric
Communicate clearly and effectively, both verbal and written
Utilize time management concepts or maximize time effectively
Work effectively with nursing, allied health and medical personnel
Concentrate and pay close attention to detail when planning and performing professional nursing care, resolving patient/resident care problems and dealing with patients/residents and their families, while working with frequent interruptions and competing priorities
Respond calmly and professionally when dealing with difficult or emergency situations
Maintain flexibility to adapt to a variety of workload assignments
Lift, push and pull 50 pounds unassisted
To problem solve in the delivery of patient/resident care, changes in patient/resident status, and changes in staffing patterns.
To perceive potential problems and respond proactively. Ability to comprehend instructions in written, verbal, or diagram, form and carry them out.
To modify care based on the developmental/functional age of the patient/resident as well as that of the patients/residents ethnic background.

Resourcefulness in dealing with emergency situations
May be required to work on varied nursing units for varying periods of time
Practices within the scope of RN licensure

Graduate of an accredited school of nursing
Bachelors degree in nursing preferred
One (1) year of nursing experience in medical/surgical or in specialty clinical area
Current Montana state license as a registered nurse required
Healthcare Provider CPR Certification required
ACLS and PALS Certifications or the ability to obtain within one (1) year of hire
TNCC/ENPC required within one year of hire
This job requires use of respiratory protection which will require respirator fit testing and medical clearance to wear a respirator.
Other certifications as may be required by specialty area
Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered
_______ _____________________________________________________________________________

Normal patient/resident care environment in critical access hospital and emergency department
Utilization of personal computers and information systems
This job requires use of respiratory protection which will require respirator fit testing and medical clearance to wear a respirator.
Participates in on-call rotations for night, weekend and/or holiday support.

Blood Borne Pathogen Category: Category I: Tasks that involve exposure to blood, body fluids or tissues.

Airborne Contaminant Category: Category I: Tasks that routinely require activities that may involve exposure to airborne contaminants.

PREPARED ON: May 24, 2011


Effective Date: June 1, 2011

Management: Bradley Howell, CEO

The above is intended to describe the general content of and requirements of the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While filling this position, the employee must regularly lift and or move 10 pounds and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and depth perception. This position also requires walking or standing to a significant degree. This position also requires reaching, handling, feeling, talking, hearing, stooping, bending, crouching, and working with equipment.

I understand Roundup Memorial Healthcare cannot guarantee my employment and that this facility can change wages, benefits, and conditions of employment at any time.

I certify I have received, read, and understand my job description.

Signature of Employee Date

Company Description

Roundup Memorial Healthcare is a 25 bed Critical Access Hospital located about an hour north of the largest city in Montana, Billings.. We have a 3 bay emergency department plus a trauma room. We are currently working toward being a level IV trauma receiving facility. Our emergency room and acute care unit offers comprehensive medical care with state of the art medical equipment. We have received many grants from the Leona M and Henry B Helmsley Grant Trust fund, Murdock Trust Foundation, and our Coal Board. These grants have allowed us to replace our CT scanner with a new 64 slice CT machine, obtain state of the art Space Labs telemetry and vital sign monitoring system which interfaces into our EMR (Cerner). We've also had the ability to purchase a brand new portable ventilator, Dexa Scan, and we are currently in the process of a facility wide new bed and call light system. We also partner with Avera eEmergency and e-Pharmacy again thanks to the Helmsley Trust Foundation. We also offer outpatient services, skilled bed services and long term care services while using an interdisciplinary team approach. Our organization is in the 2nd year of implementing Studer Group to assist us in the type of culture we truely want and expect for our organization and employees. If you have caring customer service skills, integrity, humility to grow and learn from others, are a great team player, and are truely compassionate, then we would love to hear from you. We would expect that you would be willing to move to Montana, "Big Sky County".

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