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Registered Nurse – Home Health – Full-Time Status

Job Posting
Home Health
Registered Nurse
Full-Time

Summary: The Registered Nurse is responsible to the Department Director for the delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation, and other duties as assigned. The Registered Nurse functions within the limits of the Missouri Nurse Practice Act and performs in a comparable manner to peers with similar training, experience, and circumstances.

Education: Graduate of an accredited Registered Nurse program, BSN preferred.

Experience: Minimum one (1) year professional nursing experience. Minimum one (1) year experience in a medical/surgical unit. Six (6) months home care experience preferred. Computer skills preferred.

Licensure, Registration, Certification: Current RN license in the state of Missouri. CPR certification. Current driver’s license, declaration of automobile liability insurance, and copy of driving history.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Ability to stand and walk for long periods of time and to walk up and down flights of stairs. Ability to receive and express detailed information through oral communications, visual acuity, and the ability to read and understand written directions. Excellent interpersonal and organizational skills. Ability to safely operate an automobile. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employee(s)/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases and hostile persons at times. Works with sharps and other potentially biohazardous materials. Variation in environmental temperatures. Exposure to various community environments.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.
Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.
• Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
• Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
• Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
• School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
• Adolescent (13-20 years): the adolescent must develop his/her own identity.
• Young adult (21-43 years): The young adult must develop close relationships.
• Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
• Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Clinic Nurse – Medical Office Building – Full-Time

Job Posting
Medical Office Building
Clinic Nurse
Full-Time

Summary: Clinic Nurse renders nursing care in support of medical care as directed by a physician or physician assistant in an office and/or clinical setting. A LPN will prepare patients for examinations according to the reason for the visit, performing initial patient assessment. This should include taking/recording vital signs, weight, height, head circumference (infant), temperature, reason for visit, etc. Assist the provider with the exam, procedures (such as minor surgeries, injections or aspirations). Performs venipuncture and appropriate laboratory tests as ordered and as needed. Prepares slides and specimens for physician’s review. Perform EKG’s as necessary. Assembles equipment and supplies in preparation for diagnostic or treatment procedures performed by provider. Answers telephone, handles patient questions, does follow-up with provider as necessary, and relays messages. Phones/faxes pharmacy/prescription orders. Schedules referral appointments at other facilities and other physician offices. Assists with patient instruction and interpretation of provider orders with patients. Discharges the patient and ensures that all charges have been properly recorded on the patient encounter form. Secures patient’s signature on Medicare waiver forms, CPSI forms, and procedure consent forms. Maintains patient records/charts, follows-up with provider to ensure accurate and complete medical records. Maintain and record/file lab, x-ray, EKG reports, prescriptions, correspondence, phone messages, etc. in patient chart/record. Cleans and sterilizes instruments and equipment. Maintains clean and orderly patient rooms, as well as a clean, orderly and safe workplace and clinic facility. Maintains stock of needed medical supplies. Uses proper procedure for disposal of contaminated and infectious items. Receive, record and organize medication samples, disposing of outdates appropriately and in a timely fashion. Knows the policies/procedures relating to fire, safety, disaster and infection control as they apply to hospital, as well as clinic practice. Attends in-service of these as required. The Clinic Nurse must demonstrate knowledge of the principles of growth and development over the life span. He/she must possess the ability to assess data reflective of the patient’s status and interpret the appropriate information needed to identify each patient’s requirements relative to his or her age-specific needs. Uses appropriate tact when dealing with patients, employees, hospital departments, facilitating agencies, physicians and the public. Maintains a strong ethical code regarding patient’s rights as evidenced in professional attitude/behavior (i.e., privacy, confidentiality and empathy). Must promote professional, positive and cooperative demeanor. Performs under hospital/clinic policies and procedures. Demonstrates behaviors which exemplify professional conduct and teamwork. Performs other duties as assigned by authorized personnel.

Education: High school diploma, GED or equivalent, as well as completion of an accredited nursing program with subsequent licensure.

Experience: One to two years of nursing experience (particularly physician office experience) preferred. Candidate must be comfortable utilizing a computer. CPSI software experience preferred. Centricity software experience desired.

Licensure, Registration, Certification: LPN licensure, Basic Life Support Certification and IV Certification required.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required. Accuracy and attention to detail required. Effective and appropriate verbal and written communication skills. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employee(s)/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Frequent distractions and interruptions. Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases. Exposure to hostile persons, at times. Works with sharps and other potentially bio-hazardous material.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Registered Nurse – Obstetrics – Part-Time Day or Night Shift

Job Posting
Obstetrics
Registered Nurse
Part-Time Day or Night Shift

Summary: Under the general supervision of the Director, the Registered Nurse provides direct patient care to a group of patients using nursing knowledge and skills through the use of the nursing process. Practices under the Missouri Nurse Practice Act and hospital policies and procedures. Provides direct patient care to an assigned number of patients with an understanding of the age-specific developmental needs. Demonstrates behaviors which exemplify professional conduct and teamwork.

The Registered Nurse functions independently within scope of position. Regular communication with Director provides direction of activities and guides priorities. Fluctuating departmental activities necessitate flexibility. Must be highly motivated to complete assigned duties within prescribed time limits. Uses extreme tact when dealing with patients, employees, other departments, physicians and the public. Maintains a strong ethical code regarding patients’ rights as evidenced in documentation and professional attitude/behavior (i.e., privacy, confidentiality and empathy). Must promote professional, positive and cooperative demeanor. While on call, be able to be present in hospital within thirty (30) minutes for STAT call back. Third person call back should be present in the hospital within one hour.

Education: Graduate of an accredited School of Nursing. ADN, BSN, MSN, or Ph.D. Must participate in a Basic Fetal Monitoring course within 6 months of hire and every year thereafter.

Experience: One year in L&D, Post-Partum or Nursery preferred. Must possess and demonstrate good IV skills.

Licensure, Registration, Certification: Current Missouri licensure. BLS, ACLS and Neonatal Resuscitation certifications. Basic Fetal Monitoring Course. STABLE preferred, but not required.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required. Requires frequent heavy lifting and turning activities and nearly constant walking. Standing, carrying, pushing, pulling, stooping, crouching, twisting, and reaching required. Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Minimal physical discomfort. Moderate level of auditory distractions. Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases and hostile persons at times. Works with sharps and other potentially biohazardous material. Ability to function under stress required. Must be able to multitask.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.
Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.
• Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
• Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
• Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
• School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
• Adolescent (13-20 years): the adolescent must develop his/her own identity.
• Young adult (21-43 years): The young adult must develop close relationships.
• Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
• Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Registered Nurse – Obstetrics – Full-Time Night Shift

Job Posting
Obstetrics
Registered Nurse
Full-Time Night Shift

Summary: Under the general supervision of the Director, the Registered Nurse provides direct patient care to a group of patients using nursing knowledge and skills through the use of the nursing process. Practices under the Missouri Nurse Practice Act and hospital policies and procedures. Provides direct patient care to an assigned number of patients with an understanding of the age-specific developmental needs. Demonstrates behaviors which exemplify professional conduct and teamwork.

The Registered Nurse functions independently within scope of position. Regular communication with Director provides direction of activities and guides priorities. Fluctuating departmental activities necessitate flexibility. Must be highly motivated to complete assigned duties within prescribed time limits. Uses extreme tact when dealing with patients, employees, other departments, physicians and the public. Maintains a strong ethical code regarding patients’ rights as evidenced in documentation and professional attitude/behavior (i.e., privacy, confidentiality and empathy). Must promote professional, positive and cooperative demeanor. While on call, be able to be present in hospital within thirty (30) minutes for STAT call back. Third person call back should be present in the hospital within one hour.

Education: Graduate of an accredited School of Nursing. ADN, BSN, MSN, or Ph.D. Must participate in a Basic Fetal Monitoring course within 6 months of hire and every year thereafter.

Experience: One year in L&D, Post-Partum or Nursery preferred. Must possess and demonstrate good IV skills.

Licensure, Registration, Certification: Current Missouri licensure. BLS, ACLS and Neonatal Resuscitation certifications. Basic Fetal Monitoring Course. STABLE preferred, but not required.

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required. Requires frequent heavy lifting and turning activities and nearly constant walking. Standing, carrying, pushing, pulling, stooping, crouching, twisting, and reaching required. Must be able to lift 20 lbs. from floor and from overhead, 40 lbs. from waist height and be able to handle, move or transfer articles of 100 lbs. regularly and over 100 lbs. periodically; in concert with other employees/person(s) and/or lifting device; exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Minimal physical discomfort. Moderate level of auditory distractions. Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases and hostile persons at times. Works with sharps and other potentially biohazardous material. Ability to function under stress required. Must be able to multitask.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.
Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.
• Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
• Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
• Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
• School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
• Adolescent (13-20 years): the adolescent must develop his/her own identity.
• Young adult (21-43 years): The young adult must develop close relationships.
• Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
• Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Laboratory – MLT or MT – Full-Time

Job Posting
MLT or MT
Laboratory
Full-Time

Summary: Under the general supervision of the Laboratory Supervisor or another Medical Technologist, the Medical Technician obtains and receives laboratory specimens, and competently performs clinical testing in the areas of hematology, immunology, microbiology, clinical microscopy, chemistry, and blood bank. He/she interprets results as to accuracy, acceptability and critical limits and uses quality control materials according to established procedures with appropriate documentation. In the absence of the supervisor, serves as a resource person for the technicians. Assists with investigating new procedures and instrumentation, performs quality assurance studies, and ordering of supplies as well as performing other duties as requested and assigned.

Education: Associate / Bachelor’s degree in Biological science, military training or documented equivalent.

Experience: None required. Experience working independently and unsupervised in a laboratory setting preferred.

Licensure, Registration, Certification: Certification as Laboratory Technician by accrediting agency (ASCP, ISCLT, AMT, HHS or NCA).

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Close mental and visual attention required for sustained periods of time. Frequently works under stressful conditions due to time constraints and critical condition of some patients. 90% of time spent transporting self throughout department and hospital or working at a lab workstation. Standing, walking, sitting, lifting, turning, carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Must be able to lift 20 lbs. from the floor and overhead, and 40 lbs. from waist height. Must exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Constant exposure to hazardous and infectious material. Works in air-conditioned environment with moderate noise level. May be required to work any time of day or night.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

Emergency Medical Services – Paramedic – Full-Time 24 Hour Shifts

Job Posting
Paramedic
Emergency Medical Services
Full-Time 24 Hour Shifts

Summary: Under the general supervision of the Director of Emergency Medical Services and the respective charge Nurse, the Paramedic is responsible to perform emergency care to patients on the field and in the Emergency Department as well as providing Advanced Life Support for patients on both emergency and routine transport, with similar capacity in the ED. Responsible for checking the ambulances for supplies and vehicle inspection, documenting accurately on the MARF report and patient’s ED charts.

Education: High School education of equivalent. Graduate of approved EMT-P course.

Experience: One year preferred but not required.

Licensure, Registration, Certification: Current Missouri licensure as EMT-P. Current certification of BLS, ACLS, BTLS, and PALS required. (ACLS, BTLS, and PALS may obtain within six months of hire.)

Mental/Physical Requirements: (may be met with or without reasonable accommodations): Considerable mental concentration required. Standing, walking, sitting, lifting, turning carrying, pushing, pulling, stooping, crouching, twisting, and reaching are required. Fit for duty test is required for employment and includes:

• Walk three laps (3/4 mile) on the track in 10 minutes or less
• Walk three circuits of the stadium stairs (not timed but without stopping)
• Take ambulance cot and 180-200 pound subject in and out of ambulance alone
• Lift backboard and 180-200 pound subject from the ground and carry 25 feet with a partner
• Lift and carry backboard and 180-200 pound subject up and down 6-8 steps with a partner
• Use stair chair to move 180-200 pound subject up and down 6-8 steps with a partner
• Move 180-200 pound subject from seated position to cot alone

Exercise good body mechanics in execution of essential duties, including appropriate back and neck posture.

Working Conditions: Frequent exposure to communicable disease via blood and body fluids. Frequent exposure to infectious diseases, radiation, anti-neoplastic agents, and hostile persons at times. Works with sharps and other potentially biohazardous material.

Age-Specific Competencies: Persons generally grow and develop in stages that are related to their age. Age specific competence means that the employee is aware of physical, psychosocial and/or learning needs of patients of different ages. Employees consider these needs when planning and providing care for the patient or when interacting with the patient or family.
Human development can be divided into eight stages. In each stage the individual has a primary task to accomplish or master. Each task is important throughout the life span but is most critical at a particular stage.
• Infant (0-1 year): The infant must learn to trust that his/her needs will be met.
• Toddler (1-3 years): The toddler must learn to develop a sense of himself as an independent person and gain self-confidence and self-control.
• Pre-school child (3-6 years): The pre-school child must develop a sense if initiating (being able to explore the world and start projects).
• School age child (6-12 years): The school age child must develop a sense to his/her own self-worth through accomplishments and interaction with others.
• Adolescent (13-20 years): the adolescent must develop his/her own identity.
• Young adult (21-43 years): The young adult must develop close relationships.
• Middle adult (44-65 years): The middle adult must develop a sense of community and assume responsibility for others.
• Older adult (65 years and older): The older adult must come to understand the meaning of his/her life in terms of what has been accomplished.

Texas County Memorial Hospital is a tobacco-free smoke-free facility.

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