Registered Nurse (RN) - Emergency Department (Days) (PRN)

Registered Nurse

The Registered Nurse performs nursing functions and supervises other RNs, LPNs, and other assistive personnel in the performance of nursing care according to the state nurse practice act. The Registered Nurse assesses patient needs, plans and implements patient care, and evaluates the effectiveness of care provided.

Supervision

Supervises and directs work of other RNs, LPNs, and Nurse Techs as appropriate.

Qualifications

Qualifications as designated in Nursing Clinical Ladder Policy

NOTE: ACLS within 6 months of hire into ED, ICU, Surgery, PACU, L&D, Float Pool (Critical Care and Maternity), SSU if taking GI call, or Cath Lab.

NOTE: NRP within 6 months of hire into Nursery and L&D.

NOTE: PALS within one year of hire in PACU

NOTE: BLS within 30 days

Functions

Area of Responsibilities

PATIENT ASSESSMENT PLANNING CARE: Assess and plan patient care considering biophysical, psychosocial, and spiritual patient care needs. Establish patient goals to meet identified health care needs, select interventions and document the plan of care in Electronic Health Record. Set priorities and utilize personnel appropriately. Effectively communicate with physicians and other members of the health care team.

PATIENT INTERVENTION AND EVALUATION: Provide safe and effective nursing care. Administer medications, nutritional supplements, IV fluids and blood products per policy. Educate the patient significant other regarding their disease process and discharge planning. Coordinate patient care with other departments. Recognize changes in patient's condition, take action, request assistance as necessary. Participate in multi disciplinary patient care planning conferences. Document in compliance with hospital policy and procedures and regulatory agency requirements.

TEAM MEMBER Act as a resource to students, new employees and other personnel. Assist other staff members in providing care. Timely attendance at unit staff meeting and mandatory in-services. Show consideration for Team by reporting on time for shift and taking only allotted time for breaks. Assist in control and maintenance of supplies and equipment

PROFESSIONAL DEVELOPMENT Responsible for knowledge of state, federal, and regulatory agency rules and regulations, hospital policies and procedures, (including OSHA Blood Borne Pathogen regulations, restraint and pain management requirements) and standards of nursing practice. Evaluates self and meets pre-established professional goals. Participates in required annual hospital wide and nursing continuing education

CARE ACROSS THE LIFESPAN: Use knowledge of physiologic norms and developmental level, signs and symptoms of abuse and neglect in assessing and interpreting data to effectively communicate and adapt techniques for administering medications and treatments, educating and involving patients families in care for ages and populations served.

Compliance Statement

Employee performs within the prescribed limits of Tanner Health System's Ethics and Compliance program. Is responsible to detect, observe, and report compliance variances to their immediate supervisor, the Compliance Officer, or the Hotline.

Position Responsibilities

Contact with Others: Requires frequent but limited contacts with many others to do job, or extensive contacts with a limited number of categories of people to apply procedures or treatment. Requires discretion and tact to interpret departmental procedures.

Effect of Error: Probable errors may be serious and involve losses such as improper costs, overpayment, waste of material, damage to equipment, and delay in processing work. Effect usually confined within the organization. Most of work not subject to direct verification or check. Regularly works with some confidential data such as account, salaries, patient medical records, which if disclosed might have adverse internal or external effects.

People Management Responsibilities

Supervisory Responsibility: Has limited supervision over a large section of employees (15 up), i.e. assigns and directs their work; instructs new employees and corrects results, may discuss with supervisor, but has no authority over job content or personnel. Team governance where the Members evaluate, interview, and recommend personnel actions.

Work Environment/Physical Effort

Mental Demands: Work involves a variety of complex problems to be solved under general organization policies. Ingenuity and judgment are required to review facts, plan work, estimate costs, and deal with factors not easily evaluated, interpret results, draw conclusions, and take or recommend action. Solutions to problems often require coordination with other departments.

Working Conditions: Considerable - (About 75% of the day) Involved in exposure to dirt, odors, noise, or some work is performed with exposure to temperature/weather extremes/occupational risk and probability of coming into contact with blood borne pathogens, other potentially infectious diseases, or biomedical/bio-hazardous materials.

Working Conditions Aspects for Immunizations

Performs tasks involving contact with blood, blood-contaminated body fluids, other body fluids, or sharps (needles): Yes

Directly works with Patients less than 12 months of age: Yes

Physical Effort: Considerable physical effort - Lifts, carries, or handles medium weight equipment, materials, or supplies most of day. Occasional physical effort with heavy objects (over 60 lbs.). Works in reaching or strained positions frequently.

Bending: Frequent = 34% - 66% of the time

Typing: Frequent = 34% - 66% of the time

Manual Dexterity -- picking, pinching with fingers etc.: Frequent = 34% - 66% of the time

Feeling (Touch) -- determining temperature, texture, by touching: Frequent = 34% - 66% of the time

Hearing: Constant = 67% - 100% of the time.

Reaching -- above shoulder: Frequent = 34% - 66% of the time

Reaching -- below shoulder: Frequent = 34% - 66% of the time

Visual: Constant = 67% - 100% of the time.

Color Vision: Frequent = 34% - 66% of the time

Speaking: Constant = 67% - 100% of the time.

Standing: Frequent = 34% - 66% of the time

Balancing: Occasional = 1% - 33% of the time

Walking: Frequent = 34% - 66% of the time

Lifting up to 25 lbs.: Occasional = 1% - 33% of the time

Lifting 25 to 60 lbs.: Occasional = 1% - 33% of the time

Lifting over 60 lbs.: Occasional = 1% - 33% of the time

Handling -- seizing, holding, grasping: Frequent = 34% - 66% of the time

Carrying: Frequent = 34% - 66% of the time

Kneeling: Occasional = 1% - 33% of the time

Squatting: Occasional = 1% - 33% of the time

Tasting: Not required

Smelling: Frequent = 34% - 66% of the time

Driving -- Utility vehicles such as golf carts, Gators, ATV, riding lawnmowers, skid steer, aerial lift: Not required

Driving -- Class C vehicles: Not required

Driving -- CDL class vehicles: Not required

N95 Respirator usage (PPE): Occasional = 1% - 33% of the time

Hazmat suit usage (PPE): Not required

Pushing/Pulling -- up to 25 lbs.: Frequent = 34% - 66% of the time

Pushing/Pulling -- 25 to 60 lbs.: Frequent = 34% - 66% of the time

Pushing/Pulling -- over 60 lbs. : Occasional = 1% - 33% of the time