Our Services

Ambulance

Sweet Grass County Ambulance proudly serves the people of Sweet Grass County, covering an area of over 1,890 square miles, including parts of Park County and nearly 40 miles of Interstate 90. Our service is staffed with a combination of full-time employees as well as paid on-call volunteers. Staff members include Emergency Medical Responders, Emergency Medical Technicians, Advanced Emergency Medical Technicians, and Paramedics.

Boulder Meadows Assisted Living

Cardiac Rehab

Pioneer Medical Center Cardiac Rehab offers one-on-one supervised exercise and practical advice for a heart-healthy lifestyle to people recovering from heart related conditions and procedures.

Emergency Services

Pioneer Medical Center is the only provider of emergency services in Sweet Grass County. The facility has quality staff and equipment to diagnose and treat urgent, emergent and trauma patients. Staff at the PMC sees conditions ranging from cuts, bruises and colds to motor vehicle accidents. Pioneer Medical Center has been designated as a Trauma Receiving Facility by the Montana Department of Health and Human Services by meeting high standards of trauma care.

Hospice

Hearts and Hands Hospice is a Medicare certified program that serves the residents of Sweet Grass County. Hospice focuses on caring, not curing. When a cure is no longer possible, hospice provides the best in medical, nursing, emotional, and spiritual care for people facing life-threatening illness and shortened life expectancy.

Hospital

Pioneer Medical Center is an integrated healthcare organization committed to providing high-quality, patient centered care. Our team of skilled professionals provides a wide range of medical services including emergency care, acute care, and outpatient services. As a critical access hospital, Pioneer Medical Center has 25 acute care beds to meet the healthcare needs of Sweet Grass County.

Long Term Care

Pioneer Medical Center is committed to meeting the long-term care needs of Sweet Grass County residents. Our long-term care is for those individuals who are unable to carry out the activities of daily living on a prolonged basis due to disability, age or chronic illness through a wide array of personalized services. PMC seeks to provide a comfortable environment where residents feel that this is their home and that their well-being and care is our primary focus.

Nutrition Services

With the rise of obesity, diabetes and heart disease, nutritional health is an important piece to a healthy lifestyle. Pioneer Medical Center has an on-staff licensed dietitian, who is committed to helping provide nutrition solutions and helping you feel better.

Outpatient Services

Pioneer Medical Center offers a wide range of outpatient services to the residents and visitors of Sweet Grass County. Whether you need to lab work, a CT scan, infusion therapy, or any other outpatient procedure, our expert team is here to ensure that you are cared for in a professional and personalized manner.

Physical Therapy, Occupational Therapy and Speech Therapy

Physical therapy addresses disabilities, impairments, or limitations in your overall physical function including agility, balance, endurance, mobility, range of motion, and strength.

PRN Hospice RN

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.

PURPOSE/DISTINGUISHING CHARACTERISTICS:

The PRN Hospice Nurse is responsible for the holistic nursing care of the patient. Maintains excellent relationships with all primary constituencies; patient and families, employees, Interdisciplinary Team (IDG) members, and providers. RN/LPN must provide hospice care within scope of practice and state regulations.

There are three available openings for this position.

ESSENTIAL JOB FUNCTIONS

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NO. DESCRIPTION

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. Provides skilled nursing care, patient visits, and assessments according to patient’s plan of care and needs.

3. Assists with picking up on-call shifts and providing patient visits if needed during scheduled call shift.

4. Assists with the admission process as directed by the Hospice Manager.

5. Notifies and/or consults with patient’s attending provider, as appropriate and obtains/implements provider orders.

6. Implements nursing intervention based on nursing assessment of patient and assesses patient outcome.

7. Documents clearly and concisely in a timely manner, nursing care rendered, patient/family observations, teaching plans, consultations, etc.

8. Facilitates hospice transfer to inpatient setting, notifying hospital or skilled nursing facility admissions department/supervisor, and/or emergency room of hospice patient’s identity.

9. May accompany patient/family on transfer to inpatient setting, advocating patient’s desire for palliative care.

10. Answers patient/family questions and concerns relative to hospice care and services, condition changes, and plan of care.

11. Provide comfort and support to patients and families during the final moments of life. Perform all necessary procedures and maintain skillful, compassionate care during the patients transition and for immediate post-mortem procedures. Assist with the patients discharge. Notifies patient’s PCP/Medical Director of patient’s death.

12. Actively participates with the IDG in development of plan of care as appropriate.

13. Assists in educating, supervision, and counseling of patient/family regarding physical care, symptom management, and pain control.

14. Maintains competency in all organizational, departmental, and outside agency safety standards as it relates to the environment, employee, and patient/resident safety.

15. Identifies needs and sets goals for own growth and development.

16. Perform other duties as assigned or needed to meet the needs of the department/organization.

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KNOWLEDGE, SKILLS AND ABILITIES

KNOWLEDGE OF:

· Common policies and procedures, both organizational and departmental

· Compliance Program

· Code of Conduct

· Regulatory standards (i.e., State Survey, OSHA)

· HIPAA and confidentiality requirements

· Patient’s/resident’s rights

· Patient safety standards

· Sensitivity of the dynamics of death, dying, and bereavement.

· Commitment to the hospice philosophy or care.

· Current Montana driver’s license and mechanism for transportation.

· Effective verbal, nonverbal, and written communication skills, and leadership qualities.

· Personal qualities enabling him/her to work effectively with patients, families, staff, and providers.

· Utilizes proper body mechanics while performing all physical care. Ability to lift fifty (50) pounds and perform personal care on a patient who weighs up to two hundred fifty (250) pounds.

· Physical and emotional health necessary for the accomplishment of the job.

· A desire for continued personal and professional growth and development.

SKILL IN:

· Professional communication skills, both verbal and written

ABILITY TO:

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

· Communicate clearly and effectively, both verbal and written

· Establish and maintain collaborative relationships

MINIMUM QUALIFICATIONS:

· Hospice nursing experience or an equivalent combination of education and experience relating to the above tasks, knowledge, skills, and abilities will be considered

· Professional knowledge of nursing theory and practice acquired through an accredited school of nursing.

· Current Montana state license to practice as a registered nurse or licensed practical nurse

WORKING CONDITIONS:

· Patient care visits in home, nursing home, and hospital settings.

· Category I: Task that may involve exposure to blood, body fluids and/or tissues.

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The above is intended to describe the general content of/and requirements of the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements.

Look through our website, www.pmcmt.org, the Facebook groups "Big Timber Community" and "Big Timber Buzz” or call our Director of Human Resources 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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Public Health

Nursing services provided by Sweet Grass County Health Department is a component of the Pioneer Medical Center. The goal of public health is to prevent disease, prolong life, and promote health.  

Rural Health Clinic

Our medical staff treats acute illnesses, manages chronic diseases, and provides women health, preventative care and well child services. The clinic also offers adult and child immunizations among other services.

The staff at Pioneer Medical Clinic is committed to providing prompt, courteous service and personalized care.

Transitional Care

Pioneer Medical Center (PMC) provides care for patients who are discharged from the hospital but are not quite ready to go home.