RN Emergency Room Nights
Community Health System
Job Summary The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families. Essential Functions * Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process. * Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members. * Utilizes knowledge of human growth and development to provide age-appropriate care and education. * Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice. * Assists physicians during procedures within the scope of documented competency and skill level. * Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs. * Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate. * Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery. * Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions. * Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections. * Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety. * Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff. * Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements. * Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies. * Documents patient care and education thoroughly and promptly in the medical record. * Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations. * Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery. * Critical Care RN: * Administers medications and other treatments as prescribed, including intravenous medications and therapies. * Manages complex medical equipment, including ventilators, monitoring devices, and other life-support systems. * Performs procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support. * Emergency Services RN: * Rapid Assessment and Triage: Evaluate patients' conditions quickly to determine the severity of their injuries or illnesses and prioritize care accordingly. * Conducts emergency procedures such as intubation, wound care, and suturing. * Implements interventions to stabilize patients, including administering medications, starting IV lines, and providing respiratory support. * OR Services RN: * Provides comprehensive care to patients before, during, and after surgery, including assessments, planning, and evaluation of nursing care. * Scrubs in for surgeries, assisting the surgical team with instruments and supplies, and ensuring a sterile environment. * Monitors patient vital signs, administers medications, and observes for changes in patient condition. * Cardiac Surgery RN: * Continuously assesses patients' condition, including vital signs, hemodynamic parameters, and ECG readings. * Administers medications and IV drips, adjusting dosages based on the patient's condition. * Proficient in operating and maintaining advanced life support equipment like ventilators, intra-aortic balloon pumps, and ECMO. * After cardiac surgeries, monitors patients' recovery, manage chest tubes, pacing wires, and wound care. * Endoscopy RN: * Assesses patient needs, reviews medical history, explains procedures, obtains consent, and prepares the patient for procedure. * Monitors patient vitals, administers medications, and assists the physician during procedure. * Provides post-procedure care, monitors recovery, and educates patients about aftercare instructions. * Ensures the endoscopy room is properly prepared, instruments are sterilized, and equipment is functioning correctly. * Obstetrics/Labor and Delivery/Post Partum/Nursery RN: * Educates patients about pregnancy, provides prenatal screenings, and prepares patients for labor and delivery. * Assesses and monitors the new mother's physical recovery, including vital signs, postpartum hemorrhage, and potential complications like postpartum depression. * Assists with epidurals and other pain management techniques during labor. * Administers pain medication, induces labor, and manages other medication needs during labor and delivery. * Assists during labor and delivery, monitors fetal well-being, administers medications, and provides pain relief. Monitors mothers and newborns after delivery, assessing their well-being, and providing education on postpartum care and breastfeeding. * Assesses and monitors newborn health, taking vital signs, performing routine assessments, and educating parents on newborn care. * Assists with gynecological exams and procedures, and provides education on reproductive health, contraception, and prenatal care. * Educates patients about family planning, fertility, pregnancy, childbirth, and postpartum care. * Interprets fetal heart rate patterns and assesses fetal well-being using electronic fetal monitoring. * Oncology RN: * Administers chemotherapy, manages side effects, monitors vitals, and manages pain. * Explains treatments, answers questions, and provides information on resources. * Provides emotional and psychological support to patients and their families. * Orthopedics RN: * Provides specialized care for patients with musculoskeletal conditions, injuries, and diseases. * Provides care for Orthopedic patients encompassing pre-operative and post-operative care. * Conducts peripheral/vascular assessments. * Treats patients with immobilization devices. * Provides pain management. * Provides patient education. * PACU RN: * Assesses the patient's level of consciousness and responsiveness as they wake up from anesthesia. * Evaluates pain levels and administers pain medications as prescribed. * Observes any side effects of anesthesia, such as nausea, vomiting, shivering, or muscle aches. * Monitors for and respond to any post-operative complications. * Administers medications, including pain relievers and other post-operative medications, as prescribed. * Regulates intravenous (IV) fluids and monitor fluid balance. * Checks and changes dressings on surgical wounds. * Ensures a clear airway and provide oxygen support as needed. * Educates patients and families about post-surgery care, potential complications, and discharge instructions. * NICU RN: * Continuously assesses and monitors vital signs (heart rate, respiratory rate, blood pressure, oxygen saturation) and other signs of distress. * Administers prescribed medications, intravenous fluids, and other treatments, including respiratory support and oxygen therapy. * Manages feeding needs, including tube, breast milk feeding support, and ensuring adequate nutrition. * Provides basic care tasks like diaper changes, bathing, and positioning. * Performs procedures like inserting IV lines, administering medications, and assisting with intubation or ventilation. Operates and adjusts specialized medical equipment used in the NICU. * Telemetry RN: * Using telemetry equipment to track heart rhythms (EKG), blood pressure, oxygen saturation, and other vital signs. * Analyzes telemetry data to identify trends, abnormalities, and potential problems, and reports these findings to physicians. * Provides direct patient care, including medication administration, wound care, and patient education, with a focus on cardiac health. * Recognizes and responds to emergencies, such as cardiac arrest, and implements appropriate interventions. * Dialysis RN: * Sets up and operates dialysis machines, monitors patients before, during, and after treatment, and adjusts treatment parameters as needed. * Takes vital signs, monitors signs of complications, and responds to changes in patient condition. * Educates patients and families about kidney disease, dialysis procedures, and the importance of adhering to treatment plans, diet, and medication. * Inspects and maintains dialysis machines and equipment. * Cath Lab RN: * Pre-Procedure: * Reviews medical history, assesses patient's overall health, and prepares them for the procedure. * Intravenous (IV) Line Initiation: Starts and maintains an IV line for medication administration. * Administers medications as prescribed by the physician. * Educates patients and families about the procedure and what to expect. * Verifies that surgical consents have been signed. * During the Procedure: * Assists the Cardiologist during the catheterization process. * Closely monitors the patient's vital signs, hemodynamic data, and sedation levels. * Ensures proper functioning of equipment and supplies. * Manages potential complications and responding to emergencies. * Post-Procedure: * Continues to monitor the patient's vital signs and overall condition after the procedure. * Administers post-procedure medications as needed. * Performs other duties as assigned. * Maintains regular and reliable attendance. * Complies with all policies and standards. Qualifications * 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required Knowledge, Skills and Abilities * Strong knowledge of the nursing process and clinical nursing practices. * Ability to perform thorough patient assessments and communicate findings effectively. * Proficient in administering medications and monitoring for side effects. * Effective communication and interpersonal skills to collaborate with interdisciplinary teams. * Strong organizational skills and attention to detail in documenting patient care. * Knowledge of safety standards, infection control, and quality improvement initiatives. Licenses and Certifications * RN - Registered Nurse - State Licensure and/or Compact State Licensure required * BCLS - Basic Life Support required * ACLS - Advanced Cardiac Life Support preferred * PALS - Pediatric Advanced Life Support preferred * NRP - Neonatal Resuscitation preferred * Refer to facility or unit-specific guidelines for additional requirements.
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