Entry Level Hettinger, ND jobs - 30 jobs

The Cashier is responsible to interact with customers as they enter and leave the retail store. The primary function of the Cashier is to provide excellent customer service. Hours vary with days, evenings (until 9pm), and a rotating weekend/holiday coverage required. Interested applicants should be available to work evenings. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES A. Greet customers as they enter the retail store, assisting with customer service questions. B. Answer incoming telephone calls and handle appropriately. C. Handle customer transactions utilizing KCX cash register system. D. Responsible for accurate cash handling. E. Price store merchandise as requested by store management. F. Stock merchandise on shelves as requested by store management. G. Responsible for handling customer returns. OTHER DUTIES A. Other duties as assigned MENTAL AND PHYSICAL REQUIREMENTS A. Excellent customer service skills required B. Frequent lifting up to 25 pounds C. Long periods of standing D. Frequent bending and twisting EDUCATION, TRAINING AND EXPERIENCE A. High School Diploma or GED preferred WORKING ENVIRONMENT AND CONDITIONS A. Retail store environment B. Cold and warm conditions C. Irregular work schedule EQUIPMENT AND TOOLS Computer Calculator Cash register-scanner Telephone Fax Copy machine Computer Software and network The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to perform the job successfully. The company recognizes that an individual with a disability may require an accommodation to enable him/her to successfully perform a job function. Consideration will be given to reasonable accommodations.

Job Description Join Our Team and Make a Difference ABLE, Inc. is seeking compassionate and dedicated Direct Support Professionals (DSPs) to join our team. We're committed to providing supportive lifestyles for individuals with disabilities, and we're looking for caring individuals who share our passion. Why choose ABLE, Inc.? Competitive wages: Starting at $19/hour, with up to $3 shift differentials for overnight and weekends. Growth opportunities: We'll help you earn your Developmental Disability Certification. Comprehensive benefits: Enjoy health, dental, and vision insurance options, paid time off, paid holidays, 403b retirement match, AFLAC, life insurance, a Flexible Spending Account, and an Employee Assistance Program. Flexible schedules: Choose from a variety of shifts on a rotating two-week schedule, including overnight options. What you'll do: Provide support with personal and health care needs. Assist with daily activities and community involvement. Help individuals live their best lives. Qualifications: Required drug screening Driver's license preferred Additional Information: We offer a variety of shifts for DSPs on two-week rotating schedules. Full-time employees work one weekend and then are off the next weekend. Schedules vary based on the available hours and needs of the individuals we support.1. ****************************** Please be clear about your availability during the interview process. We have full-time schedules available in both group homes and apartments. Below are some examples of full time schedules that have recently been available: Full time schedule in group home Full time schedule in apartments #hc105843

Job Description Regional Precision Farming Specialist Ready for a career where you're valued, empowered, and part of a winning team? At West Plains Inc, an employee-owned, certified Case IH dealership, we believe our people are our greatest strength. As one of the largest privately-owned ag dealerships in North America, we're committed to investing in our employees and supporting their long-term growth. Join our dedicated team as a full-time Precision Farming Specialist-an ideal role for someone who is passionate about agricultural technology, enjoys solving problems, and thrives in a collaborative environment. Our culture is built on honesty, accountability, teamwork, and continuous improvement. We take pride in doing the job right, supporting one another, and delivering dependable service to our customers and communities. Key Responsibilities: Drive Precision Farming System sales through superior product knowledge and sales expertise. Provide technical support to customers, ensuring timely and effective resolution of precision farming technology issues, utilizing strong precision farming experience, technical expertise, and equipment/operational skills. Deliver ongoing precision farming sales support, integration, and training to parts, service, and sales staff Develop and enhance staff selling capabilities through coaching and product knowledge support Perform and assist in equipment setup, calibration, installation, and troubleshooting of precision farming systems, applying advanced precision farming knowledge and technical proficiency. Stay current on the latest advancements in precision farming technologies and communicate updates to staff and customers Collaborate with team members across departments to create seamless customer experience Promote company values through positive, respectful, and professional interactions What You Bring to the Team: Strong communication, time management, and organizational skills A team-oriented mindset with the ability to build trust and relationships Problem-solving skills with a customer service focus Positive attitude and willingness to learn new technologies Previous experience with precision agriculture systems Requirements: Ability to lift up to 60 pounds unaided and stand for extended periods. Comfortable working around equipment, fluids, and varying environmental conditions. Safety-minded and compliant with all workplace safety regulations. Why You'll Love Working Here: 100% Employee Owned Employer-paid health insurance Dental, vision, long & short-term disability, and life insurance coverages 401K with employer match Paid time off, paid sick leave, and holidays Uniforms provided Supportive, Values-driven work culture Ready to join a company that supports your success and growth? Send your resume today and start your journey with a team that cares. Applicants must be able to meet and maintain insurable driving status and pass a pre-employment drug test. We are an Equal Opportunity Employer. West Plains Inc. is 100% Employee-Owned #hc209532

Completes thorough registration to allow for proper billing for medical services. Also communicates effectively through phone and face to face contact with patients and visitors of the medical facility. Schedules patients for medical services provided in the clinic and hospital setting. Excellence in Practice: Greet all visitors, staff and others in a professional and courteous manners. Schedule patient appointments identifying type of visit and adhering to guidelines established by providers. Check-In and registers patient appointments for clinic and/or hospital services collecting complete and accurate information. Confirm all patient appointments. Scan insurance and identification information. Collect co-pays and accept payment on account as required. Collect necessary registration forms from patients. Ensure reception/waiting area is neat and orderly. Answers incoming telephone calls, providing the needed assistance or transferring the calls to the appropriate individual. Perform all other administrative functions as necessary or directed. Part Time: 16 to 24 hrs/wk Normal working hours: 8am - 5pm, Monday & Thursday in Scranton Friday in Bowman (day of week may vary) Powered by JazzHR P3QEEuXw5Y

Relief Pharmacist Thrifty White Pharmacy is seeking a Relief Pharmacist in #055 Hettinger, North Dakota to provide best-in-class service in all areas including: skilled professional pharmaceutical consulting, disease state management, medication therapy management, and administration of immunizations as allowed, and ensures appropriate, reliable and consistent patient care through the distribution, control and delivery of pharmaceuticals according to professional standards and state and federal law. A few of the primary responsibilities include: Providing excellent customer service to customers by building loyalty and repeat business. Champions Thrifty White programs to patients such as Ready Refill, Medication Synchronization and HealthyPackRx and assists with enrolling patients. Dispenses medications, related supplies, and provides all clinical pharmacy services. Leads, directs, and supervises the pharmacy staff in manager's absence to accomplish goals. Leads team by modeling, coaching, and maintaining high standards in patient service. Structures and organizes workflow and systems for efficient prescription filling, patient counseling, and providing clinical services. Able to learn and implement new and changing technologies on an ongoing basis. Able to maintain flexibility in new or changing work roles and the modification of job responsibilities as required. Willing to help anywhere in the store or nearby locations as needed. Good attendance and punctuality is required in order to fulfill the essential job functions. PHYSICAL DEMANDS The physical demands described here are representable of those that must be met by an employee to successfully perform the essential job functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position may include long periods of standing. While performing the duties of this job, the employee is also frequently required: to talk and hear, use hands and fingers, handle, or operate objects, tools, or controls, and to reach with hands and arms. The employee must occasionally lift and/or move up to 40 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, color vision, depth perception, and the ability to adjust focus. Applicants must have the following: A pharmacy license, or the ability to receive a pharmacy license without any federal sanctions. A PharmD or MTM Certification (must provide a copy of the course completion certificate from an approved ACPE program). Current Immunization Certification Current CPR Certification NPI Number Thrifty White Pharmacy is an Equal Opportunity Employer. Pharmacy Innovator of the Year by Drug Store News We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Thrifty White Pharmacy is a pharmacy chain fully owned by our employees. We are committed to the communities we serve and believe that our services and products must exceed the expectations of our customers. Being an industry leader in innovation, our employee owners have been able to develop and implement several programs and initiatives that allow our team to practice at the top of their license, making them an invaluable asset to our pharmacy operations. As a dynamic organization, we have a variety of different practice sites and positions. No experience is necessary for most of our Pharmacy Technician positions! As detailed further down this careers page, Thrifty White offers Pharmacy Technician-in-Training programs at no cost to the employee!

Job Description We have openings for licensed electricians in the Minot area. Some of these jobs are high profile projects. We are especially in need of journey level and supervisory level workers. All of our positions include: Great Pay Guaranteed raises Family Healthcare Retirement All Benefits are 100% employer paid Opportunity for every skill level Free upgrade and leadership training Contractor provided power tools Overtime opportunities Job Responsibilities for Commercial and Industrial Electrician: Installation and Maintenance: Install, maintain, and repair electrical systems in commercial and industrial settings, including wiring, panels, circuits, motors, and equipment. Troubleshooting and Repairs: Diagnose and troubleshoot electrical issues, using a variety of tools and techniques to identify and resolve problems efficiently. Compliance with Codes and Standards: Ensure all electrical work adheres to local, state, and federal electrical codes, safety standards, and building regulations. Blueprint Interpretation: Read and interpret blueprints, schematics, and technical drawings to plan and execute electrical installations and upgrades. System Upgrades and Modifications: Upgrade and modify existing electrical systems to improve performance or meet new requirements, such as adding outlets or equipment. Safety Protocols: Adhere to strict safety protocols, including lockout/tagout procedures, to ensure the safety of the work environment. Collaboration: Work closely with other contractors, engineers, and team members to complete projects on time and within budget. Preventive Maintenance: Conduct regular inspections and preventive maintenance on electrical systems and equipment to reduce downtime and increase operational efficiency. Emergency Response: Provide on-call support for emergency electrical repairs, ensuring quick response and resolution of critical issues. #INDCITY3 Job Posted by ApplicantPro

Job Description Aide or Cook Facility Type: LTC Shift/Schedule: day and pm Est. Gross Wages for x hours: $800/40 hrs Staffing Manager information: Becky Skalsky Additional Details: Dietary/Cook/Culinary Aide needed for long term care facility. This position is for 36-40 contract hours per week. *6 months of cooking in healthcare experience is preferred *Provide exceptional care to residents while following facility protocols *Options for overtime *Weekly Paycheck! Hourly pay + meal stipends *Benefits offered! 401(k), Health, Vision, and Dental insurance, Employee assistance program, Referral program, Flexible schedule *Requirements: 6 months of dietary experience, Driver's license and car preferred

Job Description💊 Certified Medication Assistant (CMA II) - North Dakota Type: Contract / Local candidates Schedule: Full-Time | Days or Nights | 36-40 hours per week Pay: 💰 Competitive - Based on experience & location 🩺 Position Overview We're seeking compassionate and dependable Certified Medication Assistants (CMA II) to join our healthcare team in North Dakota! As a CMA II, you'll play a vital role in supporting nurses and caring for patients by administering medications, assisting with daily living activities, and ensuring top-quality care in compliance with state regulations. Whether you're a seasoned professional or newly certified, this is a great opportunity to expand your skills, earn great pay, and work in supportive, team-based environments. ✅ Requirements Active North Dakota CNA certification (required) Completion of state-approved Medication Assistant II (CMA II) training program Registered with the North Dakota Department of Health Nurse Aide Registry BLS certification (required) 6+ months of recent experience preferred 🌟 What We Offer Competitive weekly pay Guaranteed full-time hours Housing or travel assistance for eligible candidates RN-owned, caregiver-first agency Supportive recruiter team with fast turnaround times 💬 What You'll Do Accurately administer prescribed medications under RN/LPN supervision Monitor and document patients' responses to medications Assist with daily living activities and vital signs Communicate effectively with the care team to ensure patient well-being Maintain compliance with ND state regulations and facility protocols 📍 Join a trusted team that values compassion, professionalism, and growth. Start your next rewarding healthcare opportunity in North Dakota today! #CMAJobs #DevilsLakeND #CertifiedMedicationAssistant #HealthcareHeroes #CNAJobs #NDHealthcare #WorkAndTravel #MedicalStaffing

We're seeking an Assistant Store Manager to join our team to help with store operations, customer service and team development. Duties include, but are not limited to, the following: + Assist with store functions and day-to-day store activities + Help customers in a positive, approachable manner and address any questions or concerns they may have + Help organize, and transfer merchandise from delivery truck to stockroom to sales floor as needed and ensure the seasonal areas of the store are maintained + Perform opening and closing procedures as needed + Process all corporate directives including Pull and Hold/Destroy, Task Compliance, Key Survey information requests and any additional communications related to store activities + Maintain promotional effectiveness of store-front fixtures and displays + Assist in ordering merchandise, processing damaged merchandise, record keeping (including payroll, scheduling, and cash register deposits and receipts), and loss prevention + Maintain areas of the store, including a well-stocked sales floor and organized stockroom, to company standards + Protect and secure all company assets, including store cash + Adhere to policies and procedures including safety guidelines and ensure all store associates follow company policies and procedures + Help the Store Manager supervise, train, and develop Store Associates + Ensure a positive, safe, and respectful environment while maintaining professional and friendly interactions with customers, associates, and leaders + Responsible for maintaining the cleanliness throughout the store, including cleaning and restocking bathrooms, sweeping and mopping floors, taking out the trash, and ensuring all areas are neat and presentable + Other duties as assigned* **Skills and Experience:** + High school diploma or equivalent is preferred; ability to read, interpret, and explain operational directives (e.g., merchandise schematics, etc.) is required + Store management experience in retail, grocery, or drug store environment is preferred + Must be able to lift up to 55 lbs. from floor to above shoulder height and meet demands of frequent walking, standing, stooping, kneeling, climbing, pushing, pulling, and repetitive lifting + Strong communication, interpersonal, and written skills are required + Ability to work in a high-energy, team environment is required + Exceptional customer service, organizational, and communication skills are required + Strong problem solving and decision-making skills are required **Perks and Benefits:** We offer a wide variety of rewards to support your health, wealth, and mental well-being. In addition to medical, pharmacy, dental, and vision insurance, we offer: + Employee Assistance Program + Retirement plans + Educational Assistance + And much more! _We are an equal opportunity employer committed to_ _complying with_ _the Americans with Disabilities Act (ADA) and providing reasonable accommodations to qualified individuals with disabilities._ _This job specification should not be construed to imply that these requirements are the exclusive standards of the position._ _This is not to be considered a complete list of job duties, which appear in the for this position, and which may be amended from time to time at_ _our_ _discretion._ _Incumbents will follow any other instructions and perform any other related duties as may be required by their supervisor._ _Please note, this job description is not a contract of employment and may be_ _modified_ _to meet evolving business needs. Employment is at-will, meaning that either the employee or the company may_ _terminate_ _the employment relationship at any time, with or without cause or notice._ Full time Po Box 66,Hettinger,North Dakota 58639 30565 Family Dollar _We are required to obtain specialized licenses for those of our stores that sell alcohol and/or tobacco. As a manager, you may be required by the local jurisdiction where a store is situated to provide certain detailed background information necessary to obtain a license to sell alcoholic beverages / tobacco_ _products. Failure_ _to comply and/or qualify for such license can lead to demotion or separation of employment._

The Sales Associate is responsible to assist customers throughout the retail store. The primary function of the Sales Associate is to provide excellent customer service. This may include greeting customers in the store, cashier responsibilities, answering product related questions, product assembly, general housekeeping, and other duties as assigned by manager. The Sporting Goods Sales Associate should have knowledge of firearms and be able to accurately complete all required FFL procedures for sales of firearms. Pay Range: $11.00-$19.00 Depending on experience. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Greet customers as they shop in the retail store, assisting with customer service questions. Price store merchandise and make price changes as requested by store management. Stock and face merchandise on shelves as requested by store management. Assist in receiving freight and organize incoming products as directed by store management. Responsible for assisting in cycle counts. Answer incoming telephone calls and handle appropriately. Handle customer transactions utilizing KCX cash register system. Responsible for accurate cash handling. Responsible for handling customer returns. OTHER DUTIES Housekeeping duties Other duties as assigned MENTAL AND PHYSICAL REQUIREMENTS Excellent customer service skills required Frequent lifting up to 50 pounds Long periods of standing Frequent bending and twisting EDUCATION, TRAINING AND EXPERIENCE High School Diploma or GED preferred Any knowledge of and/or experience with FFL requirements for the sale of firearms is strongly preferred WORKING ENVIRONMENT AND CONDITIONS Retail store environment Cold and warm conditions Irregular work schedule EQUIPMENT AND TOOLS Computer Calculator Cash register-scanner Telephone Fax Copy machine Computer Software and network The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to perform the job successfully. The company recognizes that an individual with a disability may require an accommodation to enable him/her to successfully perform a job function. Consideration will be given to reasonable accommodations.

Job Description Responsible for all aspects of billing, collecting and processing of self pay clinic and/or hospital accounts. Excellence in Practice: Review all self pay balances to make sure appropriate payment arrangements are in effect. Collect delinquent accounts by payment in full or establishing payment arrangements. Manage all payment contracts for compliance. Communicate charity care and other assistance to individuals and accommodate the application process including follow up applications upon completion of 6 month period of coverage. Utilize collection agencies to collect accounts including the verification of all collection balances. Respond to patient calls and inquiries regarding all billing related questions and concerns. Identify and make appropriate adjustments for any accounts included in bankruptcy proceedings. Review accounts and make necessary adjustments to resolve any credit balance transfers, charity care assistance, and patient refunds. Normal working hours: 8am-5pm Starting salary: $18.02 Powered by JazzHR nN5B8TsZ0v

Five Counties Nursing Home Dietary Aide Five Counties Nursing Home is looking for a caring, positive individual to be apart of our dietary department. This individual will operate the dish machine following established policy and procedure to wash, unload and put away resident tray assembly. Individual will assist in serving resident meals, tray assembly, dietary supplements, clearing and washing dining tables, disposing of refuse and the general cleaning of the kitchen as scheduled. Must be 14 years old. Apply today if you a job that makes a difference in pepole's lives.

Job Description Join Our Team and Make a Difference ABLE, Inc. is seeking compassionate and dedicated Certified Nurse Assistants (CNAs) to work with the people we support. We will train you to work as Direct Support Professionals using your CNA skills in the field of Intellectual/Developmental Disabilities. Why choose ABLE, Inc.? Competitive wages: Base wage starting at $19/hour or $19.44 with experience, with shift differentials for overnight and weekends. Growth opportunities: We'll help you earn your Developmental Disability Certification. Comprehensive benefits: Enjoy health, dental, and vision insurance options, paid time off, paid holidays, 403b retirement match, AFLAC, life insurance, a Flexible Spending Account, and an Employee Assistance Program. Flexible schedules: Choose from a variety of shifts on a rotating two-week schedule, including overnight options. What you'll do: Provide support with personal and health care needs. Assist with daily activities and community involvement. Help individuals live their best lives. Qualifications: Required drug screening Driver's license preferred Additional Information: We offer a variety of shifts for DSPs on two-week rotating schedules. Full-time employees work one weekend and then are off the next weekend. Schedules vary based on the available hours and needs of the individuals we support.1. ****************************** Please be clear about your availability during the interview process. We have full-time schedules available in both group homes and apartments. Below are some examples of full time schedules that have recently been available: Full time schedule in group home Full time schedule in apartments #hc177892

ABLE, Inc. is seeking a dedicated Registered Nurse Case Manager to provide comprehensive health care services to individuals with developmental disabilities. This role involves case management, health supports, staff training, and ensuring the well-being of individuals in our care.Key Responsibilities: Case Management: Conduct comprehensive assessments and develop individualized care plans. Coordinate services and supports to address unique health needs. Monitor progress and revise plans as needed. Facilitate opportunities for growth and independence. Manage financial resources and coordinate with external agencies. Ensure compliance with applicable laws, regulations, and policies. Health Supports: Monitor physical and mental health needs, including medication management and appointments. Ensure adequate environmental support and assistive devices. Provide training and instructions to staff. Assist with hospital admissions, discharges, and transportation. Staff Training and Development: Provide training to direct care staff on nursing tasks. Ensure competency of staff in delegated nursing tasks. Qualifications: Bachelor's Degree and Registered Nurse license in North Dakota Valid driver's license Proficiency in computer systems (Outlook, Teams, Therap) Experience with ICF/DD and The Council standards preferred Skills: Strong advocacy skills for individuals with disabilities Excellent written and oral communication skills Strong leadership and problem-solving abilities Flexibility, creativity, and adaptability Strong physical assessment skills Excellent public relations skills Willingness to travel Benefits: Competitive salary Loan repayment/Bonus Comprehensive benefits package including: Medical, dental, and vision insurance Disability insurance 403b match Flexible spending account Employee assistance program Paid holidays Paid time off Flexible work schedule (for full-time salaried positions) Please reach out to us at ************ if you have any questions!

Job Description Responsible for the accurate posting of all clinic charges and adjustments to ensure appropriate charge capture. Excellence in Practice: Completely post each ticket's charges to the appropriate patient's account. Balance actual posting to ensure accuracy. Evaluate data processing needs to ensure that posting is completed in a timely and efficient manner. Post clinic adjustments in a timely and accurate fashion. Seek guidance from appropriate personnel to assist in correct assignment of codes, charges, etc. Normal working hours: 8am-5pm Starting salary: $16.92 Powered by JazzHR 4yXzUyX6o3

Job Description Please utilize this application for WRHS or WHLC for any open positions. Powered by JazzHR Sq6leR06UE

Coordinates the processing of clinic and/or hospital patient accounts, ensuring that transactions are properly reflected on all accounts. This includes insurance claim submission as well as claim denial management. Excellence in Practice: Submit claims to insurance payer in a timely and accurate manner. Respond to inquiries from insurance companies and agencies to assist in claims processing. Work insurance claim denials and errors to ensure that insurance processes claims appropriately. Provide assistance to patients with billing related questions or concerns. Perform other duties as directed by supervisor that contribute to an efficient revenue cycle process. Education: High school or higher. Good computer skills needed. Powered by JazzHR V1Cnz7wKcE

Job Description Certified Nursing Assistant (CNA) Type: Contract | Full-Time or Travel Are you a compassionate and dependable CNA with a heart for long-term care? Talented Medical Solutions, a nurse-owned healthcare staffing agency, is seeking experienced CNAs for a rewarding opportunity in Hettinger ND. Join a team that values your skills and supports your growth every step of the way. Position Details: - Setting: Skilled Nursing / Long-Term Care Facility - Status: Full-time contract Shift: 8,10,16's Variable - Days; Variable - Evenings; Variable - Evenings/Days - Start Date: ASAP or upon availability - Pay: Competitive weekly pay, based on experience Why Join Us? - Nurse-owned and clinician-centered-we understand your role - Supportive recruiters and smooth onboarding process - Opportunities for contract extensions - Bi-weekly direct deposit and consistent communication Responsibilities: - Assist residents with activities of daily living (ADLs) including hygiene, mobility, and feeding - Observe and report changes in resident conditions to nursing staff - Promote dignity and respect in all resident interactions - Maintain clean and safe environments - Collaborate with the nursing team to deliver high-quality care CNA license - BLS certification (American Heart Association preferred) - Minimum of 6 months recent experience in long-term care - Reliable, compassionate, and team-oriented - Strong communication and time-management skills Hettinger, North Dakota, is a charming small city and the county seat of Adams County, located in the southwestern part of the state near the South Dakota border. Hettinger is known for its outdoor recreation opportunities, rich pioneer history, and family-friendly environment.Whether you're interested in exploring North Dakota's natural beauty or seeking a peaceful place to settle down, Hettinger offers a blend of outdoor fun, historical richness, and community warmth. Ready to bring your care and compassion to a community that needs you? Apply now and partner with Talented Medical Solutions, where your dedication is recognized, and your success is our priority.

A Certified Registered Nurse Anesthetist (CRNA) is a licensed professional Advanced Practice Nurse responsible and accountable for his/her professional practice. He/she shall be capable of exercising independent judgment within his/her scope of practice. Excellence in Practice: Assesses and monitors the client pre-operatively, intra- operatively and post- operatively. A pre-anesthetic check list shall be performed before the first case and before each additional case of the day. Always evaluates the client's current mental and physical status. Always identifies any historical adverse re-action(s) to anesthesia. Always reviews anesthetic history to include family's anesthetic history and potential problems. Proactively advocates for customers who should not be anesthetized. Conducts history and physical assessment as per professional standards. Always reviews current diagnosis of the client and proposed surgical procedure. Identifies and documents the client's current medications. Always reviews all pertinent laboratory data and takes appropriate action. Assures informed consent has been obtained from client during interview. Always evaluates the client for major system abnormalities. Always verify allergies, Anesthetic problems, NPO status and other pertinent information. Discusses the proposed anesthetic technique and alternative anesthetic techniques in a calming, patient focused and professional manner. Appropriately discusses the risks and complications associated with Anesthesia, including but not limited to reactions, intubation, oral and dental damage and possible death. Assembles drugs including emergency and routine anesthetic drugs, labeled and dated. Drugs and dosages are weight and age appropriate. Prepares equipment, selecting type of equipment and quantity as per type of procedure, as appropriate for the age and size of the patient, i.e. neonates, pediatrics, adolescents, adults and geriatrics. Prepares an appropriate anesthesia plan of care, as observed by Supervisor/random chart audit. Continues patient oversight through anesthesia discharge. Prepares for and provides anesthesia procedures in remote locations as per established protocols. Utilizes disconnect alarm as per established procedures. Utilizes carefully considered judgment in deciding which monitoring techniques are to be used on each client, based on physical diagnosis, to verify adequate ventilation and circulation. Utilizes ASA standards for basic intra- operative monitoring. Plan of care includes post anesthesia care and completes follow up post op visit and care as needed Provides individualized pre-medication, meeting each client's unique requirement and the provider's preference. Client's vital signs and condition upon arrival to the recovery unit using the Par's scoring system. Adheres to appropriate safety precautions during all procedures to minimize the risk of fire, explosion, electrical shock and equipment failure. Documents presence of a nurse anesthetist during the course of the anesthetic. Documents Blood pressure and EKG monitoring on all surgical clients (general, regional and local anesthetics). Documents the client's response (acceptance or refusal) to the explanation of the proposed anesthetic. Records Anesthesia plans; utilizes ASA classification, documents appropriate plan and interventions via information system. Completes and accurately documents pertinent information on client's record per WRHS policy/procedures. For the Induction phase always documents: Drugs, dosages and times of administration; technical difficulties during the induction period; and verification of airway control as well as frequency of ventilation in adverse airway situations and Anesthetic technique used. For the Intra-operative phase always documents: client's physiological responses to Anesthesia; monitoring modalities; all intra-operative events/problems; Communications regarding client's concerns to other health care providers; Position changes and pulse verification. Anesthetic techniques and methods of drug administration; total amount of all drugs, fluid/blood loss and replacements. For the Emergence phase always documents: reversal of Anesthetic Agents as needed; Airway management during emergence; Condition of client prior to being transported to the post-Anesthesia care units. PACU Note - Documents either on the anesthetic record or the PACU record depending on the disposition of the patient. Entries are legible. Documents patient events/occurrence reports accurately and completely. Does not use unapproved abbreviations. Documents all charges in an appropriate and timely manner. Reports patient/visitor/employee incidents according to WRHS policy. Immediately responds to code and takes appropriate equipment. Always remains calm in a crisis. Able to diffuse high stress situations. Able to evaluate situations in seconds and respond appropriately. Must be able to effectively interact with others. Demonstrates competence in allaying patient fears. Thoroughly performs machine checks in compliance with FDA recommendations. Adheres to appropriate safety precautions during all procedures to minimize the risk of fire, explosion, electrical shock and equipment failure. The anesthetic machine is always inspected by CRNA according to established guidelines before use. The CRNA assure readiness, availability, cleanliness and working condition of all equipment to be utilized in the administration of the anesthesia care. Documentation on client record always includes verification of that the anesthetic machine and equipment were checked and documents what adjunct equipment is being used for each patient. Orders and tracks all supplies. Evaluates new equipment and supplies and makes recommendations. Promptly reports malfunctioning equipment, or equipment needing repair, to appropriate personnel. Ensures that preventative maintenance is performed according to regulatory requirements. Notifies supervisor immediately if there are lapses. Stocks Rooms - Replaces outdated drugs and supplies in the work area. Attends facility and other departmental meetings, as required. Reads minutes and demonstrates knowledge of content. Delegates tasks appropriate to patient condition and team member skills and are flexible to meet unit needs. Anticipates issues and consistently takes appropriate action. Demonstrates problem solving skills with employees, other departments, visitors and others as indicated Consistently demonstrates leadership and organizational skills that provide for a safe environment for the patient. Consistently promotes teamwork. Provides support and direction to staff to facilitate quality patient care. Consistently demonstrates empathy in interactions with patient/families. Appropriately communicates unit needs regarding equipment/supplies. Reports equipment in disrepair/needing replacement immediately. Manages practice according to AANA standards and recommended practices. Essential Job Requirements: Education: Graduate from an approved program of nurse anesthesia accredited by the Council of Accreditation of Nurse Anesthesia Educational Programs/Schools or its predecessor. Experience: Insurable by an appropriate medical malpractice insurer for the limits required by this institution or state. Demonstrates competency in those clinical responsibilities for which the candidate applies. License Requirements: Holds a current certification in the State of North Dakota. Is currently certified or currently re-certified by the Council on Re-certification of Nurse Anesthetists or its predecessor. Holds current state licensure as a registered nurse in the state of North Dakota, and comply with any applicable state statutory or regulatory requirements concerning the advanced practice nursing. Must complete the credentialing process as identified by WRHS Medical Staff by- laws. Powered by JazzHR lxo CCvObXu