RN, Emergency - FT Nights

Performs plan of care intervention, including medication administration, specimen collection, clinical treatments, as well as other medical care treatment.

Documents patient care given.

Monitors, records, and communicates patient condition as appropriate to care team, physician, patient, and family.

Assists patients with performing activities of daily living, including personal hygiene, elimination, nutrition, and ambulation.

Collaborates as needed across disciplines to coordinate patient care, including patient transfer, discharge, referral and spiritual/psychosocial support needs.

Evaluates learning needs of patient and/or family and provides patient/family education appropriate to age, culture, condition, and circumstances.

Works as an advocate for the physical and emotional well-being of the patient.

Performs triage while considering both physical and psychosocial elements. (after (1) ONE year of employment)

Works directly under physicians, assisting them during exams, diagnostic testing and treatments.

Prepares and administers the prescribed/ordered medications and administers them under the 5 Rights.

Reports adverse reactions to medications or treatments in accordance with the policy regarding the administration of the medications by a licensed registered nurse.

Reports any suspected abuse to the appropriate agencies.

Promotes culture of safety for patients and employees through proper identification, reporting, documentation and prevention.

Adheres to infection control polices and protocols, medication administration and storage procedures, and controlled substances regulations.

Maintains competency and knowledge through current standards of practice, trends and developments in related scope of job role or practice.

Initiates patient education plan, as prescribed by the physician.

Teaches the patient and significant others how to manage their illness/injury, by explaining; post-treatment home care needs, diet/nutrition/exercise programs, self administration of medications and rehabilitation, as well as provide referrals to other healthcare professionals for follow-up treatment.

Displays professionalism while completing multiple urgent tasks in a timely manner.

Follows facility and OSHA safety rules and procedures while on assignment.

Respects cultural and religious practices of the patients.

Upholds HIPAA regulations.

Demonstrates Competency and Professional Responsibility in the Charge Nurse Role

Makes Staff Assignments

Shift hand-off with off-going Charge RN

Counts Narcotics (Both shifts)

Checks crash carts

Manages disposition of expirations within ER/Crash carts etc.

Checks negative pressure rooms

Checks equipment and ensures it is present and in proper working order

Manage discharge call backs-For five (5) patients from prior day (Day Shift)

Discharge rounding on five (5) patients

Review cultures and call/treat as advised

Charge Nurse Report-Communicates any issues for Director follow-up

Environmental Assessment-Ensure rooms stocked, equipment set up and in working order, IV pumps charged/available.

Manages transfers In/Out

Manage employees in relation to job accountabilities

Adjust staffing related to department volume and need (call-outs, flexing)

Ensure SIM reports are completed by appropriate staff within 24 hours of event. For example:

• Falls
• Skin Integrity issues
• Patient behavior issues
• Against Medical Advise (AMA)

Ensure proper SEPSIS, STROKE, STEMI care/documentation is completed by appropriate staff

Psych patient care/documentation completed, psych checklist initiated and sitters managed

Moderate Sedation-

• Ensure proper documentation (Consent, time out, PI tool completion)

Manage patient flow within the department

Every effort has been made to make this job description as complete as possible. However, it in no way states or implies that these are the only duties the incumbent will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position. This position description does not restrict the right of management to assign or reassign duties and responsibilities with and without notice.

To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.

X Associate’s degree Preferred X Required

Degree must be from an accredited and approved nursing program with the State Licensing Board.

X Bachelor’s degree X Preferred Required

X ONE (1) year emergency room experience X Preferred

Charge Nurse:

X TWO (2) years of experience (with no corrective action on file) X Required

X Must have working knowledge of the Emergency Department X Required

Registered Nursing License in good standing. Multi-state licensure accepted.

Certifications:

X ACLS (Advance Cardiac Life Support)-American Heart Association X Required

X PALS (Pediatric Advance Life Support)-American Heart Association X Required

X TNCC (Trauma Nursing Core Course) X Preferred

X ENPC (Emergency Nursing Pediatric Course) X Preferred

Note: Current instructor cards are equivalent to a provider card for the same discipline (Example: A BLS instructor certification held is equivalent to a BLS provider certification)

Note: if the employee has ACLS, PALS, BLS, etc. from another organization other than American Heart Association, the employee has 30 days from date of hire/transfer to complete the AHA version.

Competency/Training:

X EKG exam at time of hire

X NIH Stroke Scale done within 90 days of hire

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.