RN ED

Provides age and population specific direct clinical care to neonate, infant, pediatric, adolescent, adult and geriatric patient populations. Delivers patient care according to the Scope of Service for the Emergency Department. Adheres to and practices the SJH Corporate Compliance Program and participates in Performance Improvement activities.

Obtains and reviews all patient data using; observational. Interviewing, interpretation and critical thinking skills in an age specific populations and developmentally appropriate manner. Identifies risk factors and provides for patient safety. Implements measures to prevent injury from environmental hazards. Practices autonomously and consistently with professional nursing standards. Identifies changes in patient status, exercises critical thinking and independent judgment within the context of a multidisciplinary approach to patient care. Develops a plan of care that is unique to each patients needs, evaluates patient response to plan of care and reflects measurable goals that are mutually set with the patient. Evaluates patient response to pain management interventions. Offers alternative pain management therapies. Demonstrates knowledge and awareness of medication action, side effects and protocols for use. Using 2 patient identifiers, gives medication safely and accurately according to policy and procedure. Organizes and prioritizes care of multiple patients with varying levels of acuity in a timely and efficient manner with a positive attitude. Manages specimen collection, handling and disposition according to hospital policy. Labels blood specimens at patient bedside. Addresses patient and familys spiritual and emotional needs utilizing a holistic approach. Uses supplies and equipment within safe parameters. Ensures equipment is functioning properly before use. Reports equipment malfunction following the appropriate reporting procedure. Initiates and completes computerized Event Reports for unusual events consistently. Reports near misses.

Assess patient and family education needs based on; a) age/population, b) developmental level, c) readiness to learn based on patient perception, educational level and expectation of care, d) patient understanding, e) available coping mechanisms, and f) outcome expectations. Initiates and incorporates patient/family education into plan of care and nursing practice. Identifies continuity of care needs for discharge and follow-up using appropriate resources. Communicates up-dated status report and clear information to patient/family to make informed decisions.

Assists and completes daily routines, i.e. crash cart checks, narcotic count, urine controls, glucometer checks. Keeps the department clean, orderly and stocks daily. Functions in the charge nurse role as assigned. Completes and signs daily charge nurse form. Completes all documentation, utilizing the appropriate forms/systems (ED Flow Sheet, Trauma Flow Sheet, Procedure Sedation Packet, OR Packet, signed computerized discharge instructions and telephone number, Patient Profile completed 100%). Documents procedure/treatment and supplies to reflect and support appropriate charges. Charges supplies and medications accurately at time of use. Responds appropriately in management of Code Blue, Trauma Protocols and Activation, Disaster Preparedness, and Crisis Intervention. Administers immunizations and flu injections to hospital employees. Completes appropriate paperwork and discharge instructions to employees. Demonstrates knowledge, set-up, and proficiency with use of equipment: cardiac monitor, monitor station at nurses desk, IV pumps, level 1 fluid/blood warmer, radio/dispatch, warming lamp, central/arterial line, chest tube/atrium system, temporary pacemaker, airway cart, adult and pediatric airway rolls.

Completed documentation. Assigns appropriate acuity level per classification systems. Keep charge nurses apprised of patients waiting. Adhere to patient flow protocol from triage to ED.

Required: ASN

Preferred: BSN

Required: Demonstrated critical thinking skills and a professional style of communication. Basic computer skills.

Preferred: Two years Emergency Department experience.

Required Licenses: Current RN license with the authority to practice in the State of Wyoming. BLS, ACLS and ENPC or PALS required at the time of hire. TNCC or ATCN required within 6 months of hire, CPI required within 6 months of hire.

Emergency Department and other hospital areas. Irregular hours, meals and breaks. Fast paced and noisy at times. Stressful situations. Frequent interruptions. Must be on-site at the SJH campus or other facilities to fulfill the responsibilities of this role.

80-90% of the time standing and walking. Intermittent sitting and computer use. Must possess sight/hearing senses to meet the requirements of this position. Must possess the ability to lift, push, pull or move patients, equipment, and supplies. Ability to lift fifty (50) pounds.

Direct Reports: None

Reports to: Clinical Manager RN ED

Internal and External Contacts: All hospital departments, patients, physicians, families and/or friends of patients, community agencies and transferring medical facilities.

Is dedicated to meeting the expectations and requirements of patients

Gets firsthand patient feedback and uses it for improvements

Establishes and maintains effective relationships with patients and gains their trust and respect

Completes tasks in a way that ensures there are not errors

Methodically and patiently reviews work to identify any mistakes or discrepancies

Creates and stores documentation in a way that is thorough and easy to access

Considers many factors and sources when making decisions

Is correct and accurate with most of his/her solutions and suggestions when judged over time

Is sought out by others for advice and solutions

Spends his/her time and the time of others on what's important

Quickly zeros in on the critical and few and puts the trivial many aside

Handles risks and uncertainty with composure

Steps up to conflicts, seeing them as opportunities

Builds appropriate rapport

Finds common ground and gains cooperation

Taking responsibility for the consequences of one's own actions and decisions