ER Midshift RN

Job Summary: Provides professional nursing care within the Emergency Department; coordinates care planning

with other disciplines. Provides care that meets the psychosocial, physical and general aspects of care. Determines

priorities of care based on physical and psychosocial needs of patients, as well as factors influencing patient flow

through the system. Communicates with ED physicians regarding changes in patient’s status, symptomatology and

results of diagnostic studies. Responds quickly and accurately to changes in condition or response to treatment.

DUTIES AND RESPONSIBILITIES:

Demonstrates Competency in the Following Areas:

Provides direct patient care, evaluates outcomes, consults with other specialists as

required and adjusts nursing care processes as indicated to ensure optimal patient care.

Ability to perform a head-to-toe assessment on all patients and reassessments as per

policy. This includes neonate, pediatric, adolescent and geriatric patients and the general

patient population.

Uses triage process to ensure timely and appropriate care to patients. Accurately assigns

triage categories.

Ability to adequately assess and reassess pain. Utilizes appropriate pain management

techniques. Educates the patient and family regarding pain management.

Ability to monitor hemodynamic status of patient and correctly interpret the results.

Demonstrates knowledge of cardiac monitoring, identifies dysrhythmias and treats

appropriately.

Ability to perform waived testing (point-of-care testing) per Clinical Laboratory’s and the

patient care unit’s policies and procedures.

Ability to interpret the results of waived tests; takes appropriate action on waived test

results.

Maintains current knowledge of medications and their correct administration based on age

of the patient and his/her clinical condition.

Follows the seven (7) medication rights and reduces the potential for medication errors.

Prepares, hangs, monitors and discontinues IV fluids.

Maintains accurate and continued nursing documentation including patient histories,

conditions, treatments, responses and assessment of changes.

Performs all aspects of patient care in an environment that optimizes patient safety and

reduces the likelihood of medical/health care errors.

Supports and maintains a culture of safety and quality.

Treats patients and their families with respect and dignity. Identifies and addresses

psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families.

Functions as liaison between administration, patients, physicians and other healthcare

providers.

Demonstrates Competency in the Following Areas:

Demonstrates knowledge of the principles of growth and development over the life span

and the skills necessary to provide age appropriate care to the patients served. Able to

interpret data about the patient’s status in order to identify each patient’s age specific

needs and provide care needed by the patient group.

Interacts professionally with patient and family and involves patient and family in the

formation of the plan of care.

Formulates a teaching plan based on identified learning needs and evaluates

effectiveness of learning; includes family in teaching, as appropriate.

Maintains established departmental policies and procedures, objectives, performance

improvement program, safety, environmental and infection prevention and control

standards.

Maintains a safe, comfortable and therapeutic environment for patients and families in

accordance with hospital standards.

Assists in cost containment through the appropriate ordering and conserving of supplies

and equipment.

Cooperates with other staff to achieve departmental objectives; maintains good employee

relations and interdepartmental objectives.

Responds promptly to changes in workload, adjusting assignments as necessary to

achieve optimal productivity and efficiency.

Provides resource information to other staff.

Demonstrates the ability to assist physicians with procedures in the Emergency

Department.

Supervises temporary employees and employees who do not supervise; allocates and

monitors work of others; leads one or more employees performing similar work.

Orients new employees to the Emergency Department.

Assists the Emergency Department Nurse Manager in the development, implementation

and evaluation of performance improvement indicators to improve patient outcomes and

the work environment.

Participates in problem solving with other healthcare team members related to

management of clinical care area.

Enhances professional growth and development through participation in educational

programs, current literature, inservice meetings and workshops; shows responsibility for

own professional practice and ongoing education.

Works at maintaining a good rapport and a cooperative working relationship with

physicians, other departments and staff.

Performs other related duties as assigned or requested.

Professional Requirements:

Adheres to dress code, appearance is neat and clean.

Completes annual education requirements.

Professional Requirements:

Maintains regulatory requirements.

Maintains patient confidentiality at all times.

Reports to work on time and as scheduled, completes work within designated time.

Wears identification while on duty, uses computerized punch time system correctly.

Completes inservices and returns in a timely fashion.

Attends annual review and department inservices, as scheduled.

Attends at least 50% staff meetings annually, reads and returns all monthly staff meeting

minutes.

Represents the organization in a positive and professional manner in the community.

Actively participates in performance improvement and continuous quality improvement.

Complies with all organizational policies regarding ethical business practices.

Communicates the mission, ethics and goals of the facility, as well as the focus statement

of the department.

Regulatory Requirements:

• Graduate of an accredited school of nursing with three (3) years registered nurse experience within the last

48 months.

• Current Registered Nurse license within the state of Missouri.
• Experience as Charge Nurse or other leadership role preferred.
• 1-2 yrs. Emergency Room experience preferred.
• Current BLS Certification.
• Current ACLS Certification.
• PALS within six (6) months of hire.

Language Skills:

• Able to communicate effectively in English, both verbally and in writing.
• Additional languages preferred.

Skills:

• Basic computer knowledge.

Proficient in interpreting EKG.

Physical Demands:

• For physical demands of position, including vision, hearing, repetitive motion and environment, see following

description.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential

functions of the position without compromising patient care.

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This shift is 11am -11pm. Every third weekend required.