Registered Nurse (Med/Surg/ER)

Job Title: Registered Nurse (RN) Medical-Surgical and Emergency Room Classification: Non-Exempt/Hourly Reports To: Director of Nursing Position Type: Full-Time Hours Worked/Shift: Day Shift 6 am – 6 pm (3 days a week, weekend and holidays included.) Summary The RN is responsible for the care of a specific group of patients during a twelve‑hour shift and may supervise LPNs or Nurse Aides who are assigned to the same group of patients. The Emergency Department (ED) Nurse is responsible for the overall care of the Emergency Department patient, providing direct and indirect patient care in the emergency care setting, reflecting initiative, flexibility, and responsibility indicative of professional expectation with a minimum of supervision. The RN triages safely, rapidly, and accurately; determines priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system; and responds quickly and accurately to changes in condition or response to treatment. Essential Functions Demonstrates ability to safely assist patients with transfer, lifting, or rendering aid on the facility campus. Provide direct patient care, including treatments, daily care, etc., as ordered and/or per nursing judgment based on accepted nursing care standards and evidence‑based practice. Complete a thorough admission assessment as well as assessments of each assigned patient each shift. Seek guidance from the Director of Nursing. Maintain an accurate and up‑to‑date record of patient activities, assessments and any changes occurring on his/her shift by charting per accepted policy. Make rounds on assigned patients at minimum of every two hours; preferably hourly. Ensure hourly rounding is completed by Nurse Aide. Make rounds with the attending physician on his/her patients. Start and maintain intravenous sites and monitor intravenous medications; assist non‑IV‑certified LPNs with all intravenous medications; ensure intravenous medications administered appropriately and per certification regulation. Monitor medical conditions of assigned patients and report changes to the appropriate personnel. Verify all assigned patient’s orders are acknowledged throughout the day and at the end of the shift. Assist providers with examinations, procedures and other processes related to care. Perform all basic nursing procedures involved with the position of a staff Nurse. Prepare, hang, monitor and discontinue intravenous fluids as ordered. Respond to all Code Blue situations and perform as directed by the Charge RN. Participate in conducting patient care conferences and maintain up‑to‑date care plans. Assume any additional responsibilities delegated by the Charge Nurse or the Director of Nursing. May be required to float to other departments as needed (Operating Room, Outpatient Therapy) and as appropriate per scope of practice. Responsible for monitoring, scheduling, distributing, and educating on any medication (all routes) as orders by the physician. Provide patient care, medication management, and order implementation to assigned patients. Assign specific patient care responsibilities to aides who are assigned the same patients for which the Staff Nurse is responsible. Handle problems concerning patients and personnel directly assigned to him/her, and report this to the Charge Nurse. Refer intra‑ and inter‑departmental complaints and problems to the Risk Manager, Charge Nurse, or Director of Nursing. Provide input to the Director of Nursing concerning policies, procedures, patient care facilities, and equipment. Recommend improvements to the Charge Nurse and the Director of Nursing. Function as an effective public relations representative both inside and outside the hospital. Observe professional ethics. Adhere to departmental policies and procedures, Quality Assurance, and infection control standards. Ensure an adequate supply of supplies and proper functioning of equipment. Report problems or concerns to the Director of Nursing. Participate in educational programs, in‑service meetings, and workshops. Attend monthly staff meetings and other hospital meetings as required. Demonstrate behaviors consistent with organizational mission and goals. Demonstrate behaviors that promote positive patient/staff relations. Arrive for work on time and maintain scheduled shifts. Maintain appropriate appearance for job duties, wearing identification on duty. Provide care of emergent and non‑emergent patients. Engage critical thinking to intervene with appropriate interventions for urgent/emergent care. Provide care of the acute and chronically ill patients. Apply knowledge of hemodynamics. Perform advanced IV and central line skills. Identify and manage life‑sustaining physiologic functions in unstable patients. Apply knowledge of cardiac monitoring, identify dysrhythmias, and treat appropriately. Complete assignments within SQSS. Approve timecard every week. Participate in Charge Nurse roles and responsibilities. Perform all other duties as assigned or requested. Position Qualifications Minimum Education: associate or bachelor’s degree from an accredited nursing school. Minimum Experience: Will train newly graduated Registered Nurse. Must be able to work as a team. Certifications/Licenses Active RN license in the state of Kansas before commencing employment. Basic Life Support must be obtained within 6 months of commencement of employment. Advance Cardiac Life Support, Pediatric Advanced Life Support, Neonatal Resuscitation, and Trauma Nurse Core Course must all be obtained within one year of commencement of hire. Competencies Basic knowledge of anatomy, physiology, and medical terminology. Friendly and professional bedside manner. Multi‑tasking skills. Effective oral, written, and reading communication skills. Understands legal implications of patient care. Working Environment Prolonged, extensive, or considerable standing/walking; assists with lifting and moving patients; lifts supplies and equipment; considerable reaching, stooping, bending, kneeling, and crouching. Regularly exposed to the risk of blood‑borne diseases/illness; may be exposed to various patient elements. Physical Demands Push/Pull (weight ranges): 0‑10 pounds: Occasionally 10‑20 pounds: Occasionally 20‑50 pounds: Never 50‑100 pounds: Never 100+ pounds: Never Stand: Occasionally Walk: Occasionally Sit: Occasionally Squat/Kneel: Occasionally Bend: Occasionally Reasonable accommodations may be made to enable individuals with disabilities to perform the position accountabilities without compromising patient care or departmental efficiency. However, if it is determined that the employee cannot meet the position accountabilities with or without accommodation, it is the right of GRMC to release the individual under Kansas “Employment at Will” doctrine. Professional Requirements Adheres to policies, procedures, and always maintains confidentiality. Attends annual in‑services; completes annual education in a timely manner. Represents GRMC in a positive, professional manner on the job, electronically and in the community. Complies with all hospital policies regarding ethical business practices; communicates the mission statement & core values of GRMC both on and off the job. #J-18808-Ljbffr Goodland Regional