ER Nurse: Rapid Triage & Critical Care

The Emergency Room Nurse provides direct and indirect patient care in the emergency care setting and provides care that reflects initiative, flexibility and responsibility indicative of professional expectation with a minimum of supervision. The Emergency Room Nurse is able to triage safely, rapidly and accurately, every patient that enters the emergency care system. Determine priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system Communicate with Emergency Department physicians about changes in patient's status, symptomatology and results of diagnostic studies Able to respond quickly and accurately to changes in condition or response to treatment Maintain awareness of current ER operational policies and procedures which impact position responsibilities Demonstrate current comprehensive and professional knowledge and skills in conformation with recognized nursing standards including the Patient Bill of Rights standards for patient care and the Nurse Practice Act Provide direct patient care, evaluate outcomes, consult with other specialists as required and adjust nursing care processes as indicated to ensure optimal patient care Able to perform a head‑to‑toe assessment on all patients and reassessments as per policy, including pediatric, adolescent and geriatric patients and the general patient population Able to use triage process to ensure timely and appropriate care to patients and accurately assign triage categories Able to adequately assess and reassess pain, utilize appropriate pain management techniques, and educate the patient and family regarding pain management Able to monitor hemodynamic status of patient and correctly interpret the results Demonstrate knowledge of cardiac monitoring to identify dysrhythmias Able to perform waived testing (point‑of‑care testing) per Clinical Laboratory’s and according to patient care unit’s policies and procedures Able to interpret the results of waived tests and take appropriate action on waived test results Maintain current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition Maintain accurate and continued nursing documentation including patient histories, conditions, treatments, responses and assessment of changes Perform all aspects of patient care in an environment that optimizes patient safety and reduce the likelihood of medical/health care errors Interact professionally with patient and family and involve patient and family in the formation of the plan of care Formulate a teaching plan based on identified learning needs and evaluate effectiveness of learning, including family in teaching as appropriate Maintain a safe, comfortable and therapeutic environment for patients and families in accordance with ER standards Ensure an adequate stock of supplies and proper functioning of equipment Assist in cost containment through appropriate ordering and conserving of supplies and equipment Maintain and use all instruments in the Clinical Laboratory safely and correctly Responsible for ensuring companywide compliance with state and federal Clinical Laboratory rules and regulations Responsible for traveling to one Emergency Center location per day unless otherwise specified Perform quality control procedures and maintain records on these checks Perform calibrations in compliance with manufacturer’s requirements Ensures proficiency testing specimens are done at each center in compliance with policy Oversees documentation of temperatures/humidity checks Monitors appropriate send out lab procedures Maintains current appropriate and needed policies and procedures Demonstrate knowledge of new testing methods, products and instrumentation; remain informed on all current technologies Maintain inventory of necessary supplies and submit orders for restocking as needed Demonstrate the values to team concept on a consistent basis Interact professionally with all department members, physicians, staff, administration and the Director of Clinical Laboratory Responsible for documenting correct information for compliance purposes. Remain knowledgeable about appropriate testing procedures Perform other duties as assigned Safety/Infection Control Demonstrate knowledge of and adhere to regulations and ER policies and procedures pertaining to safety, emergency preparedness, infection control, OSHA, fire safety and hazardous materials Performance Improvement Participate in performance improvement activities as necessary Customer Service Maintain confidentiality of patient related issues Demonstrate effective interpersonal skills Treat all patients, visitors, and staff members fairly and with respect Utilize effective communication methods and skills Explain all procedures, treatments, and care while remaining aware of language barriers Able to perform care in non-judgmental manner and recognize discrepancies between patient and personal beliefs ER Policy Ensure personal appearance is clean and neat Responsible for wearing ER identification at all times Attend all ER required meetings and in-service education Remain flexible in staffing patterns and resolution of staffing conflicts; participates in temporary assignments Compliance with attendance standards Demonstrate flexibility when changes in assignments are necessary Qualifications Education & Experience Graduate of an accredited school of nursing At least 2–5 years of Emergency Room Registered Nurse experience Language/Math/Reasoning Ability Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one‑on‑one and small group situations to customers, clients, and other employees of the organization Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations Computer Skills Basic computer skills Certificate/Licenses Current RN license within the state of practice Current BCLS, ACLS, and PALS Certification Professional Maturity: The ability to separate emotional feelings from the real issues at hand Responsibility: The ability to accept choices you have made and the results they have led to Communication: The ability to write and speak effectively; actively listens to others, and give feedback Flexibility: Demonstrate responsiveness and adaptability following change initiatives Intelligence: Understand information and apply new knowledge Energetic: Exhibits high levels of energy and enthusiasm Organized: Efficient in structuring tasks to be accomplished Computer Savvy: The ability to use technology efficiently and effectively Customer Service: The ability to enhance customer satisfaction Job Knowledge/Technical Knowledge: Knowledgeable of current role and technical systems, and the impact it has on the organization Integrity and Respect: Demonstrates upmost level of integrity Interpersonal Communication: Writes and speaks effectively based on the psychological, relational, situation, environmental and cultural dynamics within the situation Collaboration and Partnership: Encourages participation from team members Manages Change: Demonstrates flexibility with changing environments Problem Solving: Resolve issues in a timely manner Attention to Detail: Follows procedures to ensure entry of data Organization: Uses time efficiently by prioritizing and planning work activities Judgment: Ability to make independent decisions Teamwork: Works with others to accomplish objectives and shows support for decisions Quality: Sets high standards to ensure quality in work performed Accountability: Takes responsibility for adhering to all company policies, procures, and performance expectations Physical Demand Requires visual acuity to inspect and analyze work close to the eyes and ability to hear sound with or without correction; Ability to climb, stoop, kneel, reach, stand, walk, pull, push, lift, and able to exert up to 40 pounds of force occasionally and/or up to 10 pounds of force constantly to move objects Moderate physical activity performing somewhat strenuous daily activities of a primarily administrative nature The physical demands for this position include: adequate vision, hearing, and repetitive motion Ascending or descending stairs, ramps and the like, using feet and legs and/or hands and arms Substantial movements (motion) of the wrist, hands, and/or fingers in a repetitive manner Bending legs downward and forward by bending leg and spine Standing, particularly for sustained periods of time. Using upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion. Raising objects from a lower to a higher position or moving object horizontally from position to position Well‑lighted, heated and/or air‑conditioned indoor office setting with adequate ventilation #J-18808-Ljbffr