Pioneer Medical Center

Licensed Practical Nurse (LPN)

Pioneer Medical Center is a 25-bed critical access hospital, essentially the county hospital for Sweet Grass County, Montana: Population 3700. We are in a beautiful valley along the Yellowstone River, between three mountain ranges, just north of Yellowstone National Park. We serve our neighbors (ranchers, skilled trades people and active retirees) and the many tourists who come here on their way to Yellowstone and Glacier National Parks, or to fish the Yellowstone, hike, bike, hunt or just get away from overcrowded places. Big Timber is a vibrant and welcoming small town, an hour from Bozeman and Billings. Our schools are highly rated, with high community support.

Pioneer Medical Center has an immediate opening for a full and/or part-time licensed Practical Nurse (LPN) to join our hospital’s patient care team.

Licensed Practical Nurse Job Description

Under general supervision of the Director and/or as delegated by the Registered Nurse, assists in the delivery of patient care. Utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Works collaboratively with the RN to meet the physical, psychosocial, educational, spiritual needs of the patient and family, and contributes to the plan of care while maintaining professionalism.





1. Supports and models behaviors consistent with Pioneer Medical Center’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.

2. 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.

3. Provides nursing care by performing basic to semi-complex treatments as delegated by the RN. Ensures complete, accurate and timely entry into patient medical record as indicated by patient condition and documentation guidelines, consistent with departmental policies and procedures.

4. Observes patients for physical and emotional reactions to medications and treatments, reporting any irregularities to appropriate medical and/or other nursing personnel.

5. Adheres to facility safety standards, policies, and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action.

6. Maintains competency in all organizational, departmental, and outside agency environmental, employee or patient safety standards relevant to job performance

7. Takes responsibility for own professional growth and development needs; meets all system and departmental educational requirements.

8. Consideration is given to the appropriateness of care based on the population specific needs of the patient including age appropriate and cultural needs.

9. Utilizes performance improvement principles to assess and improve the quality of patient care.

10. Demonstrates collaborative, supportive, and caring behaviors in communication with patients/ families, visitors, and the interdisciplinary team

11. Performs all other tasks as assigned or as needed to meet the needs of the department/organization.



• Regulatory standards

• Common policies and procedures, both organizational and departmental

• Personal computers, hardware, and software

• Code of Conduct

• Compliance Program

• HIPAA and confidentiality requirements

• Patient’s rights

• Patient safety standards

• Customer service techniques

• Nursing practices, patient care treatment and planning within scope of practice

• American Nurses Association (ANA) Code of Ethics


• Interpersonal communication

• Demonstrate empathy and sensitivity necessary to elicit patient’s cooperation and allay apprehensions.

• Collection of information to contribute to evidence-based plans of care related to specific interventions and goals.


• Incorporate population specific and cultural needs into all aspects of communication and patient care; scope of services provided will encompass age groups from infant through geriatric

• Works effectively with the interdisciplinary care team

• Utilize time management concepts and maximize time effectively

• Communicate with effectively both verbally and in writing

• Maintain flexibility to adapt to a variety of workload assignments

• Respond calmly and professionally when dealing with difficult situations

• Lift, push and pull 50 pounds


• Practice within the scope of LPN licensure

• May require adaptability and more diversification of duties when necessary to float to other areas

• Simple to moderate complexity in prioritizing care with the assistance of the RN/Physician.


• Graduate of an approved program for licensed practical nurses

• Current Montana state license as a practical nurse required

• Healthcare Provider CPR certification required

• Must be able to lift, push, pull 50 pounds unassisted



• Normal patient/resident care environment

• May be required to work varying shifts, weekends, and holidays.

• Utilization of computers for clinical database systems.

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

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

Look through our website,, the Facebook groups "Big Timber Community" and "Big Timber Buzz” or call our HR Manager at 406.932.4603 for more information about the area and this role.

Pioneer Medical Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, pregnancy, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.'

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