ER Nightshift PRN

Job Summary for RN applicants : 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, in-service 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 in-services and returns in a timely fashion. Attends annual review and department in-services, 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.

Job Summary for LPN applicants: Provides direct and indirect patient care in the Emergency care setting. Communicates with physicians about changes in patient’s clinical condition including: hemodynamic monitoring, results of diagnostic studies and symptomatology. Is able to respond quickly and accurately to changes in condition or response to treatment. Additionally, is able to perform general nursing duties with adequate supervision. Participates in performance improvement and CQI activities. DUTIES AND RESPONSIBILITIES: Demonstrates Competency in the Following Areas: Assist in Triage of patients at ER entrance Assess patient’s condition and report to attending physician/Charge Nurse Accurate documentation on ER form (initial assessment must be performed by Registered Nurse). Knowledge of medications and their correct administration based on age of the patient and their clinical condition. Follows the seven (7) medication rights and reduces the potential for medication errors. Ability to monitor hemodynamic status of patient and correctly interpret the results and reports these results to the supervising/Charge RN or Physician. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management. 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. Ability to revise plan of care as indicated by the patient’s response to treatment and evaluate overall plan daily for effectiveness. Demonstrates knowledge of cardiac monitoring and dysrhythmias. Communicates appropriately and clearly to charge nurse, co-workers and physicians. Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs. Provides care appropriate to disease condition and age of the patient. Demonstrates an ability to assist physicians with procedures in the Emergency dept. Demonstrates an ability to be flexible, organized and function well under stressful situations. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population 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. Demonstrates Competency in the Following Areas: Interacts professionally with patient/family and involves patient/family in the formation of the plan of care. Maintains a good working relationship both within the department and with other departments. Documentation meets current standards and policies. Identifies and addresses psychosocial needs of patients and family. Stays current in the field of critical care nursing through continuing education, conferences, professional societies and journals. Professional Requirements: Adheres to dress code, appearance is neat and clean. Completes annual education 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 time clock system correctly. Completes in-services and returns in a timely fashion. Attends annual review and department in-services, as scheduled. Attends at least 50% of the staff meetings annually, reads and returns all monthly staff meeting minutes. Represents the organization in a positive and professional manner. Actively participates in performance improvement and continuous quality improvement (CQI) activities. 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. Ability to exercise sound judgment. Able to promote positive image of the nursing unit and hospital by conveying friendliness, and concern during interactions with patients, families, visitors and co-workers. Able to maintain composure in stressful situations. Regulatory Requirements: • Graduate of an accredited LPN program. • Current state LPN Licensure. • Two (2) or more years of recent critical care experience preferred. • Successful completion of a dysrhythmia recognition course. • Current ACLS and BLS certification. Language Skills: • Able to communicate effectively in English, both verbally and in writing. • Additional languages preferred. Skills: • Basic computer knowledge.

Purpose: The PRN staff will be utilized to cover staffing needs, which are not covered by the existing part-time and full-time staff.

The PRN pool will consist of PRN staff that work in areas where 12-hour shifts are scheduled but can at times be utilized in other departments. Definitions: • PRN (pro re nata): as needed Procedure:

• There are two (2) available options for PRN staff:

1. PRN 1 (one) requires a commitment to sign up for 3 (three) shifts per month. One (1) of these shifts must be a weekend shift (Saturday or Sunday) and one (1) holiday per yea2. PRN 2 (two) requires a commitment to sign up for 6 (six) shifts per month. Two (2) of these shifts must be a weekend shift (Saturday and/or Sunday) and one (1) holiday per year. • PRN staff will decide upon hire which PRN option they prefer.

• PRN staff will collaborate with their supervisor/manager to sign up for required shifts.
• The supervisor/manager will be responsible for making sure the requirements are met.
• PRN staff will not be eligible for standard employee benefits (i.e., vacation accrual/worker’s compensation).
• PRN staff are eligible for worked Holiday Pay.
• Any PRN staff inactive for 90 days will automatically be removed from the PRN pool.
• PRN staff will not be scheduled over 64 hours per pay period without prior approval from the supervisor/manager and/or the Chief Nursing Officer.
• PRN staff will receive a written evaluation annually.
• PRN staff will NOT be eligible for a merit increase each year at the time of evaluation.
• The PRN hourly rate will be established by the Administration.
• PRN staff are required to complete orientation.
• Any nurse requesting to be of PRN status who does NOT have 1 (one) year of experience or more will require a longer training/orientation period.
• To change options on the PRN pool, you must have written approval from your department supervisor/manager and the Chief Nursing Officer.

Nightshift PRN RN or LPN