RN - ER

RN - ER

Primary Purpose: To provide quality patient care following the standards using the nursing process in order to maintain a safe environment to provide patient and family education and to provide proper documentation for billing. Perform other duties as assigned.

Formal Policy-Setting Responsibilities: No formal responsibility. The policies associated with the job's purpose and essential responsibilities are set by others.

Routine Decision Making: Alterations in patient assessment; determines patient educational requirements; determines when to contact the provider.

Formal Supervisory Responsibility: No formal supervisory responsibility.

Unusual Working Conditions: Risk of blood, body fluid contamination. Risk of injury related to poor body mechanics. Risk for injury from aggressive, combative or disoriented patients. Potential exposure to hazardous drugs and chemicals.

Age Specific Competencies: May provide care for birth to pediatric (birth-2 yrs.), pediatric/child patients between (2 yrs-12 yrs.); adolescent patients between 12 to 18 years of age; adult patients between 18 to 64 years; and geriatric patients 65 years and older.

Essential Responsibilities and Tasks:

• Assesses all assigned patients at start of shift and as needed.
• Completes a patient admission assessment that includes a pertinent patient history, medication history, assessment of body systems and other screenings within four (4) hours of arrival to the Medical Surgical unit.
• Assesses data relative to age specific needs for every patient within four (4) hours of patient's arrival to the unit, at start of shift and as needed.
• Repeats assessment and documents on abnormal patient findings at least once and as needed during shift.
• Assesses patient/family learning needs within four hours (4) of arrival to the unit, start of shift and as needed.
• Completes appropriate pain assessment at start of shift and as needed.
• Assesses the patient's and family's learning needs every shift and as needed.

Qualifications:

• Education and Certification: RN degree required. BSN preferred. Current RN licensure in the state of Missouri or compact licensure to practice in Missouri required. ACLS, PALS, BLS and NIH Stroke Certification required within 90 days of being hired. TNCC required within 6 months of hire. Annual stroke education hours per hospital policy. NVCI or equivalent class as determined to be required by the facility.
• Required Knowledge: Nursing process; critical care; medications and treatments; growth and development; disease processes; interpretation of lab results.
• Required Skills and Ability: Good communication skills; assessment skills; time management skills; proficient computer skills; clinic skills; problem solving skills; and knowledge of hospital policies and procedures.