Charge Nurse Salary in Billings, MT

Under the direction and supervision of the physician and in accordance with the authorized scope of practice for the level, assists in the delivery of patient care. Works collaboratively with the health care team including nursing staff and other health care providers to meet the physical, psychosocial, educational and spiritual needs of the patient and family.Essential Job Functions• Supports and models behaviors consistent with the mission, vision, values and philosophy of Billings Clinic and the Emergency Department. Functions within the core competencies and "Minimum Specifications" set forth by the organization. • Responds in a timely, pleasant, efficient manner to the ED phone lines, using PSE guidelines; able to transfer calls. Adheres to confidentiality (HIPPA) and patient right requirements. • Pleasantly greets patient upon entering ED (waiting room) and directs to next available triage room, if Chief complaint is emergent will immediately notify Triage Nurse. Obtains and/or records vital signs, including height and weight and places on white board for RN charts and documents in patients record according to documentation guidelines. Collects laboratory specimens as needed. Performs Point of Care (POC) laboratory testing (glucometer) as listed in the job description. • Performs basic patient care, treatments, and documentation approved by the Physician or delegated by RN. • Assists patient's activities during ED care, such as showers, ambulating and turning, crutches, walkers, wheelchair or stretchers, transfers and assists with patient transports within the ED & facility. • Obtains and records vital signs including blood pressure, pulse, respiration, temperature, and pulse oximetry using manual & automatic technology. Additionally performs postural vital signs, obtains weights & heights, visual acuities, and specific POC testing (i.e. precision Glucometer). • Measures, records, and provides, for patient: intake of food and fluid which includes partial and total assistance with feedings; output from bodily functions/specified drainage devices and collects specimens as directed by the physician. Works collaboratively within the ED patient care team • Reports changes in patient condition, patient needs, and patient/visitor problems to the ED Physician AND Primary Nurse/or ED Charge Nurse. • Documents all care provided utilizing appropriate ED documentation-CERNER FirstNet and/or ED paper chart guidelines. • Assists in preparing wounds for suturing, i.e., cleansing and irrigation of the wound and setting up of all equipment (including sterile supplies) for suture procedure. • Performs EKGs as required and places patients on cardiac monitors. • Assists in preparing patient for MD exam, Patients need to be changed into a gown for assessment (i.e., assisting patient to undress, providing warm blankets, ice, extremity elevations, etc.) • Assists Diagnostic Imaging Tech with X-ray procedures as needed, as well as assisting in transfer of patients to CT or US. • Assists in the safety search of designated patient(s) as needed. (Following safety search policy) • Institutes seizure precautions when applicable • Assists MD/RN with gastric lavage as directed (ED only). • Assists ED physician/RN as needed with tasks such as providing supplies and equipment. • Responds to patient call lights and reports patient requests to MD/RN caring for patient. • Completes documentation following patient disposition, i.e. admission and discharge and transfer. • Sets up initial IV fluid bag including priming tubing adhering to aseptic technique at the specific request of the MD/RN • Establishes peripheral IV line upon MD's request. Applicable to PCT II (with EMT) & III only. Discontinues peripheral IV lines upon MD request per education requirements Applicable to PCT II (with EMT) & III. • May establish ultrasound IV's after class/competency completion (level II (with EMT) & Level III only.) • If trained/competent in I/O may insert under request/supervision of ED physician. (level II (with EMT) & Level III only.) • Maintains clean patient environment by assisting in the cleaning and maintenance of the waiting room, patient rooms and the ED unit. Performs linen changes for occupied beds while maintaining proper patient body alignment and comfort. • Knowledge and competence in all equipment cleaning • Utilizes appropriate personal protective equipment • Is versed in aseptic and sterile technique • Visual acuity's • Performs phlebotomy procedures per established ED and laboratory guidelines for collection and processing of specimens. • Applies and removes restraints according to Billings Clinic policy. • Assists with ambulance/helicopter/flight transfers into the ED. Is knowledgeable in admission, transfer and discharge of patient (including equipment) intra-facility and EMTALA/HIPPA regulations. • Understands system for disaster callbacks of ED staff and Emergency/Kardex notebook. Identifies and anticipates problems and safety issues and initiates appropriate action. Maintains a safe, clean, and orderly environment for patient and visitors. Maintains competency in all organizational, departmental, and outside agency safety standards relevant to job performance. Identifies and anticipates problems and safety issues and initiates appropriate action • Has well developed computer skills with ability to document in The FirstNet CERNER program. Able to use Outlook for sending and receiving E-mail communication. ~it is the employees responsibility to document all cares (i.e. IVs, ambulation, vitals, etc) and patient contact they perform. As well as checking organizational email. • Utilizes performance improvement principles to assess and improve the quality of patient care. • Takes responsibility for identifying own development needs; meets all system and departmental educational requirements. Attends required meetings and participates in committees as requested. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. • Refers more difficult problems to the MD, RN, , PCT II and/or III• Active participant in keeping a safe work environment. • Able to perform all basic CNA and/or/EMT patient care requirements Competency in: • Performing basic phlebotomy procedures to include a variety of draw sites, specimen preparation • EKGs. • Wound care/dressings. • Splinting. • Vital signs • Patient safety search • Understanding and compliance of 1:1 policy • May be cross-trained to Unit Clerk job role Knowledge, Skills and Abilities • General knowledge of Billings Clinic policy and procedures, both departmental and organizational • Regulatory standards and requirements • Billings Clinic Corporate Compliance • Billings Clinic Code of Business Conduct • Customer service techniques and Personal Service Excellence (PSE) skills • Patient care treatment, planning and assessment within scope of practice • Interpersonal (PSE)skills necessary in order to interact with patients, families, and physicians • Demonstrates empathy and sensitivity necessary to elicit patient's cooperation and allay apprehensions • Phlebotomy techniques and utilization of vacutainer and other phlebotomy equipment • Performing EKG's • Performing basic patient care and treatments within scope of certification/license • Performing a safety search • Performing computerized documentation according to unit guidelines. • Critical thinking • Patient Care II (with EMT or CMA) & III • IV techniques • I/O insertion• Incorporate population specific needs into all aspects of patient care and communications; scope of services will encompass age groups ranging from infant through geriatric • Utilize time management concepts or maximize time effectively • Communicate clearly and effectively both verbally and in writing • Utilize critical thinking skills • Respond calmly and professionally in difficult situations and when dealing with difficult patients and/or family members • Lift a minimum of 50 pounds• Professional conduct when dealing with co-workers, patients, and visitors. Resourcefulness in dealing with simple to moderate complexity requires ability to prioritize duties with assistance of nursing personnel. • Practices within the scope and level of certification/licensure Minimum QualificationsEducation• High school graduate or equivalent • Medical training as a Certified Nursing Assistant, Medical Assistant, Certified Assistant (MA), EMT, AEMT, or Paramedic Experience• Six-(6) months work experience as a CNA/EMT or other health related field performing patient care in a health care facility, preferably an acute care hospital, and/or pre-hospital setting. (Or) • Formal college coursework relating to health field or combination of education and experience. Certifications and Licenses• Current Montana license as Certified Nurse Assistant and/or EMT certification (or) • College training in a health-related field. • CPR Certification BLS for infant, child and adult upon hire (ACLS for Level III)• Must successfully pass Billings Clinic phlebotomy training upon of hire. Other Qualifications• Six-(6) months work experience as a CNA/EMT or other health related field performing patient care in a health care facility, preferably an acute care hospital, and/or pre-hospital setting. (Or) • Formal college coursework relating to health field or combination of education and experience. Required to

Under general supervision, assists in the delivery of patient care/treatment and provides clerical and administrative support. Works collaboratively with the Physician, Non-Physician Provider, RN, LPN, and other departmental personnel to meet the physical, psychosocial, educational, and spiritual needs of the patient and family.Medical Assistant Essential Job Functions•Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements.• Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Prepares room, equipment and supplies as dictated by a particular examination, patient's needs, and Billings Clinic exam and procedure room cleaning guidelines.• Assists with scheduling admissions, appointments, diagnostic tests, treatments, procedures, and surgery. May assist with registration and/or collection of co-pays.• Screens incoming telephone calls for appropriate referrals to nurse, physician and/or non-physician provider.• Orders and maintains clinical and office supplies and equipment as directed.• Maintains patient files, records and other information. Adheres to confidentiality requirements.• Compiles statistical data for reports as directed.• Attends required meetings and participates in committees as requested.• Receives and prepares patient for examination and treatment as directed. Obtains and records history and vital signs. May assist in preparing for minor procedures and physical exams. Charts and documents in medical record. Collects laboratory specimens as needed.• Cleans and disinfects equipment per Billings Clinic sterile processing guidelines.• Administers influenza vaccine, pneumococcal vaccines, and Td/TDAP to patients age 18 or older.• Provides instruction to patients as directed by physician, non-physician provider or documented in policies and procedures.• Performs all other duties as assigned or as needed to meet the needs of the department/organization.• Additional Essential Functions for Level II and III - Refer to Department Grid• Assists physicians and non-physician providers in preparing for minor procedures and physical exams.• Performs minor procedures to include but not limited to stitch and staple removal, application of dressings, ear lavage, splints and casts, etc.• Administers medications and immunizations according to department approved grid and guidelines; once department requirements and required training have been met.• Additional Essential Functions for Level III - Refer to Department Grid• Administers medications and immunizations according to department approved grid and guidelines, which may include pediatric patients; once department requirements have been met.• Required to assist in 3 medical assistant training events per year (could be less if organizational needs change and also depends on amount of medical assistants in department).*• Required to precept with a minimum of 5 externs per year (could be less if organizational needs change and also depends on amount of medical assistants in department).*• May perform advanced skills for department if all training has been completed and competency achieved (please refer to department specific grid).• Point of Care Testing Trainer or Specialized Training specific to department; i.e. Wound Vac, Vein Procedures• Additional essential Functions for Level IV - Refer to Department Grid• Administers medications same as previous levels specific to department grid and guidelines and additional injections as indicated on department specific grid. (Patient Care; Patient Care, Injections)• Health coaching , Clinic Float, Training Lead, Yellow Belt• Participates in maintaining and/or building training modules using evidence based best practice for medical assistants• Assisting with process improvements as related to the clinical setting.• Proficient in basic patient care and treatment, planning and evaluating according to job description and MA level• Competent to perform routine, non-complex aspects of patient care, treatments and procedures• Safe pharmaceutical handling requirements and guidelines• Application of personal protective equipment (PPE) for patient and staff safety• Computer applications• Refer to Department Grid specific to Level I• Analytical skills necessary to understand a variety of basic and/or routine problem scenarios associated with patient care• Refers more difficult problems to higher level medical assistant, nurse, supervisor or appropriate health care provider• Practices according to Billings Clinic MA job description, guidelines and physician judgment• Work is performed under the direct supervision of a physician• Work is performed independently in accordance with assigned schedules and operating procedures• Assumes responsibility for the follow-up of problem scenarios and coordinates appropriately with other MA, LPN, RN, physician and/or non-physician provider• Expected to prioritize all aspects of job performance• Demonstrates personal accountability in all facets of role responsibilities• Interpersonal skills which enable the incumbent to appropriately respond to a variety of patient/family requests and inquiries, to respond to inquiries from physicians, nursing staff and other health care providers, and to check for understanding, allay apprehension and enlist cooperation of the patient• Ability to utilize and apply PSE skills• Service Recovery• Communication with patient on expectations, e.g. being late for scheduled appointment, wait times• Able to assist with patient service assistance needs as necessary and provide service recovery, e.g. coffee cards, lunch, gas cards• Work with leadership on service recovery as needed• Medical Terminology (available through LMS)• Process Improvement / Quality Assurance /Risk Management• Adheres to patient safety goals and standards• Participates in Process Improvement or Risk related activities within the department• Participates in the financial viability of Billings Clinic by ensuring appropriate ensuring appropriate utilization of supplies and equipment and maximizing the flow of patients to maximize effective utilization of the physician's/non-physician provider's time• On-Call Responsibility• Basic laboratory specimen handling and processing (urinalysis, blood sugars, etc.• Safe pharmaceutical handling requirements and guidelines• Demonstrate phlebotomy skills if relevant to area. Cross-trained to assist physician and/or non-physician provider with procedures• Administer Level I approved medications after completion of appropriate pharmaceutical courses, along with Billings Clinic injection class for Influenza, Pneumococcal, Td/TDAPLPN Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Participates in the development of the strategy of care in collaboration with other members of the healthcare team by providing data; identifying priorities; setting realistic and measurable goals; identifying measures to maintain comfort, support human functions and response and maintain an environment conducive to well-being; and provide health teaching.• Implements and documents safe patient care consistent with Billings Clinic and departmental values/goals, policies & procedures and according to scope of license.• Adheres to Billings Clinic and departmental safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action.• Maintains appropriate departmental skill/knowledge and application of relevant and commonly used equipment, pharmacology and laboratory values based on disease process or physiological status.• Utilizes performance improvement principles and improve the quality of patient care. Incorporates the Magnet Model in transforming the work environment and quality of nursing care.• Demonstrates collaborative, supportive, and caring behaviors in communication with patients and/or families, visitors, and the interdisciplinary care team.•Takes responsibility for own professional growth and development needs; meets all system/departmental educational requirements.• Performs other duties as assigned or needed to meet the needs of the department/organization.Medical Assistant Minimum QualificationsEducation• High school diploma or GED/equivalentExperience• Six (6) months related work experience in a health care environment required to develop proficiency in basic Medical Assistant procedures and processes encompassing all age groups, preferred.Certifications and Licenses• CPR - at hireLPN Minimum QualificationsEducation• Graduate of an approved licensed practical nursing programCertifications and Licenses• Current state license as a practical nurse requiredThese positions are sign-on incentive eligible!!

*May be eligible for $2,000 sign on incentive*Provide care and close supervision of patients. Document patient behaviors provide crisis intervention as necessary and implement individualized treatment plans while following Billings Clinic policies and procedures. Work as part of the interdisciplinary team and assist in maintaining a safe environment for both patients and staff.Essential Job Functions• Ensure that patients and their environment are safe. Complete patient and environmental safety observations on assigned unit. Attentive to possible issues on the unit due to escalating behaviors or environmental factors and report concerns to Charge nurse. • Provide patient care and assist with ADLs as needed such as personal hygiene, toileting, bathing, transferring, and eating. Daily task assignments may include height, weight, vital signs and obtaining blood glucose levels. Document the care provided in a timely and accurate manner per Billings Clinic guidelines. • Communicate effectively and provide age appropriate care to adolescents, adults, and geriatric patients. • Demonstrate appropriate judgment and emotional stability when encountering stressful and non-stressful situations. Exhibit calm demeanor when de-escalating patients. Implement crisis prevention and de-escalation approved techniques beginning with least restrictive intervention followed with more restrictive interventions as necessary. May include lifting, bending or holding to assist patients. • Facilitate and supervise patient groups of an educational or supportive purpose. Encourage patient participation in milieu activities and plan of care. • Demonstrate accurate and timely documentation for all patient care provided through completion of applicable charting. • Assist with admissions by checking in patient belongings and gathering their belongings upon discharge. • Maintains a safe and clean environment for patients and staff members. • Maintains confidentiality and acts in accordance with HIPPA policy and procedure. • Performs routine clerical work including filing, chart maintenance, paperwork coordination and effectively using the phone system. • Contributes to individual treatment plans as part of the treatment team. Comprehends program specifics and therapeutic purpose for each group. Makes essential judgments related to patient needs and progress. Seeks out consultations and information from other team members and gives input into team decisions. • Participates in process improvement. Actively provides feedback to other team members and gives input into team decisions. • Models patient service excellence (PSE) and provides quality customer service care when engaging with patients, family members and other staff members. • Acts as a resource, role model and mentor. Responds appropriately to questions and assists with problem resolution.

The Nursing Professional Development (NPD) practitioner is a registered nurse that exercises the knowledge, skills, and behaviors that reflects NPD practice judgment and expertise to influence professional role competence and growth of learners in a variety of settings. The NPD practitioner collaborates with the interprofessional healthcare team, stakeholders, and the learner with the desired outcome for improved population health. The NPD practitioner is responsible for applying knowledge and skills detailed in the Scope and Standards of NPD practice guided by the Nursing Professional Development Model. In addition, the NPD practitioner will support the organizational and nursing strategic plan by helping ensure goals and priorities align with patient care, staff needs, and organizational objectives to guide decision making and priority setting.Essential Job Functions• Learning Facilitator: Uses the educational design process and adult learning principles to bridge identified gaps in knowledge, skills, and/or practice.(Maloney & Harper, 2022)Gaps are identified through a variety of means (examples include environmental scanning, learning needs assessments, quality outcomes.)Is an expert in and a resource in the process of designing education.• Change Agent: Advocates for process change at all levels using change management strategies and theories.(Maloney & Harper, 2022)Supports the adaptation of new behaviors and processes in practice to drive desired outcomes.• Mentor: Advances the nursing profession and the NPD specialty by contributing to the professional development of others and supporting ongoing learning as individuals develop across practice, professional, and educational settings.• Leader: Influences the interprofessional practice and learning environments, the NPD specialty, the profession of nursing, and healthcare through creative problem solving and innovation.(Maloney & Harper, 2022)• Champion for scientific inquiry: Promotes the generation and dissemination of new knowledge and the use of evidence to advance NPD practice, guide clinical practice, and improve the quality of care for the healthcare consumer/partner. (Maloney & Harper, 2022)• Advocate for NPD specialty: Supports, promotes, and demonstrates nursing professional development as a nursing practice specialty. (Maloney & Harper, 2022)• Partner for practice transitions: Supports the transition of nurses and other healthcare personnel across learning and practice environments, roles, and professional stages (examples include transition to practice programs for new graduates, advanced practitioners, or transitioning into a new clinical practice area.)Evaluates nursing practice and identifies opportunities for modification that would enhance professional practice, maintain/improve patient care while remaining fiscally sound.• Onboarding/Orientation: Develops, coordinates, manages, facilitates, conducts, and evaluates clinical onboarding/orientation programs focused on retention and growth for nursing and other healthcare personnel.• Competency Management: Demonstrates expertise in competency management by accepting responsibility for measuring, documenting, and supporting the competency process through assessing, developing, coordinating, managing, facilitating, conducting, and evaluating competency continuums to address staff and team performance. (Maloney & Harper, 2022)• Education: Uses the education design process for planning, implementing, coordinating, and evaluating educational activities that address gaps in knowledge, skills, and/or practice for the target audience to achieve specific outcomes.Continuing nursing education - supports awarded continuing education contact hours based on the regulations and standards of the accrediting body.Interprofessional continuing education - promotes collaboration with other healthcare professionals to design, manage, implement, coordinate, and evaluate education when appropriate.• Role Development: Assists staff by coaching, coordinating, facilitating, conducting, and evaluating activities to navigate role transitions, role integration, skill acquisition, and succession planning (examples include the RN becoming a preceptor, charge nurse, leader, or joining a transition to practice program.)• Collaborative Partnerships: Seeks internal and external collaboration for opportunities to teach, coordinate, serve as liaison, and/or advise nurses and other learners regarding education and learning (examples include working with other healthcare/leadership professionals, community partners, emergency medical services, public health departments, disaster management services, academic partnerships.) (Maloney & Harper, 2022)• Inquiry: Promotes and applies professional curiosity using research, evidence-based practice, and quality improvement initiatives to discover, teach, practice, and integrate the best available evidence to transform healthcare delivery and outcomes. (AACN, 2019, p.3)• Personal Professional Role Competence and Growth:Demonstrates competence in knowledge, skills, and practice as outlined in the Nursing Professional Development Scope & Standards of Practice.Identifies personal needs and sets goals for own growth and development in collaboration with department manager.

This role provides immediate supervision, direction and support to clinical and non-clinical departments within Billings Clinic, providing administrative presence and support in conjunction with and or in the absence of leadership team. Responsibilities include acting as an administrative resource and liaison to outside agencies such as law enforcement and the media, attending to patient and family issues, ensuring proper staffing, dealing with emergency situations and resolving problems while fulfilling the leadership role throughout the organization to ensure quality patient care. Maintains established organizational and departmental policies and procedures, quality improvement programs, safety and environmental standards and regulations.Essential Job Functions• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service. Responsible for promotion of, and adherence to, the elements of Billings Clinic's Code of Business Conduct and corporate compliance program. • Acts as a clinical resource, educator, mentor and provides leadership to all staff members seeking advice for clarification of a policy and/or procedural issues. Demonstrates and encourages an ethic of open communication, collaboration and teamwork throughout the organization. Participates in building an environment of shared commitment to Billings Clinic's goals and responsibility to achieve quality outcomes. • Acts as a liaison and patient advocate to the community demonstrating sensitivity to the ethical and legal ramifications of practice. Responsible for coordination of requests for media calls, outside agency contacts, employee information, and/or requests from various funeral homes in the event of a patient/resident death. • Serves as a resource in the resolution of complex patient issues and complaints. Coordinates notification of appropriate personnel for special procedures, on-call staff including administration/management, tissue/organ donation and/or autopsy. • Conducts rounds throughout the organization making contact with physicians, staff and/or patients to facilitate effective patient care, organizational communication and teamwork. Evaluate situations immediately, takes action as deemed appropriate. Documents and reports to the appropriate members of the leadership team. • Coordinates and optimizes staffing needs based on staffing guidelines, anticipated and actual departmental activity, patient acuity, case mix and staff competencies. Maintains staffing sheets daily. Works closely with Staffing Representative, Charge Nurses and Leadership when making staffing decisions. • Coordinates the admission, discharge and transfer processes to minimize divert and ensure appropriate patient placements to minimize transfers. • Responds and supports CPR team and STAT team. • Provides resource support and direction to employees who report on the job injury or illness. • Acts in a fiscally prudent manner and is committed to cost containment efforts. Make recommendations regarding the availability of adequate resources as appropriate. • Provides performance feedback to staff and managers, and makes recommendations for disciplinary actions as may be appropriate. • Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. • Acts as the initial contact for potential disasters and makes decisions to implement the emergency preparedness plan as appropriate. Responds to and coordinates the disaster until relieved of duty. • Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements. Participates in organizational and departmental meetings as requested. • Performs other duties as assigned or needed to meet the needs of the department/organization.