RN, Emergency - Nantucket

Registered Staff Nurse

100% onsite on Nantucket Island, MA. 36 hours per week, rotating shifts. Previous Emergency Department (ED) experience strongly preferred. The Registered Staff Nurse is a professional nurse who renders quality nursing care. Nursing care is based upon the assessed needs of the patient, is congruent with the prescribed therapy of the medical staff and is based on the Nursing Department's philosophy of nursing, and the Hospital's mission, vision and values. The Registered Staff Nurse will assess, plan, implement, and evaluate care for all patients. The Registered Staff Nurse is accountable for the delivery of quality patient care, utilizing the nursing process for all patients from birth through their adult life cycle.

Essential Job Duties and Responsibilities

• Collects and documents all data pertinent to each patient's actual and potential needs within twenty-four (24) hours of admission.
• Documents and reports significant findings of ongoing patient assessment.
• Formulates the patient plan of care based on age-specific needs and acceptable standards of practice.
• Communicates the patient plan of care (written/verbal) through shift reports and other established procedures.
• Formulates discharge plan (with guidance when needed) within twenty-four (24) hours of admission.
• Implements and documents teaching plan in the patient record
• Organizes own patient care and demonstrates ability to set priorities, providing most acutely needed care first and implementing physician and nursing orders within appropriate timeframes.
• Demonstrates proficiency in administering treatments, procedures, and equipment appropriate to the unit/department as demonstrated by the skills checklist.
• Administers safely and documents medications according to established procedures with no more than three (3) documented errors per year.
• Uses standard precautions as outlined in the Nursing Department Infection Control Manual.
• Demonstrates ability to prioritize patient/unit needs.
• Completes discharge screening tool upon admission, appropriate referrals to other care services, and implements individualized teaching plan based on actual discharge needs.
• Evaluates nursing interventions to changing patient situations as demonstrated by patient outcome.
• Prioritizes nursing interventions in complex and rapidly changing patient situations, as evidenced by the patient outcome and documentation in the record.
• Demonstrates competency in the following areas by physical demonstration, verbal or written exam (medical equipment, age specific assessment and intervention, procedures such as IV therapy, medication administration, initiation of telemetry, etc.), as may be required in the performance of job duties and responsibilities.
• Attends all mandatory Hospital/Nursing Department in-service training sessions and meetings.
• Actively participates in 75% of unit staff meetings, Nursing Steering Committee, patient care conferences, and/or one (1) project relevant to the unit per year.
• Maintains an environment that is committed to high standards of patient care and supportive of Nursing Department staff providing that care.
• Assumes responsibility and accountability for providing open communication, consensus decision-making, group goal setting and shared responsibility.
• Assumes authority, responsibility and accountability for nursing practice.
• Functions in a collaborative and collegial relationship with other health professionals and providers.
• Demonstrates consideration toward patients, family members and other Hospital personnel by communicating in a professional manner, acknowledging and understanding their concerns and speaking to them in a manner which demonstrates concern, dignity and respect.
• Adheres to Hospital/Nursing Department policy and dresses in a manner that represents the nursing profession as a professional; maintains personal cleanliness of dress and hygiene, and wears identification badge at all times while working.
• Participates in disciplinary performance improvement and other activities designed for professional growth.
• Reviews and signs all in-service updates.
• Identifies own limitations in skills and knowledge as demonstrated by seeking guidance when needed from appropriate colleagues.
• Identifies and meets individual annual goals that are congruent with the Nursing Department's long- and short-term goals.
• Participates in decision-making processes of unit/Nursing Department.
• Demonstrates leadership skills.
• Recognizes acute problems that occur in the unit and intervenes in a safe manner, in accordance with Nursing Department and Hospital procedure.
• Provides assistance to other staff members during orientation and as needed and requested.
• Participates in the development and implementation of Nursing Department goals and objectives by providing constructive feedback.
• When performing the role of Day Charge nurse, attends discharge planning meetings
• When performing in the role of Clinical Director, provides guidance to each nursing unit to coordinate, direct, and evaluate the activities of Nursing Department personnel.
• Serves, when directed, as the onsite nursing administrative authority.
• Maintains confidentiality of organizational and patient information in accordance with Hospital policy and applicable statutes.

Essential Knowledge, Skills, and Abilities Required for the Position

• Ability to coordinate and supervise the assignment of staff, makes assignments and checks for completion of job duties and responsibilities.
• Ability to tactfully communicate with both internal and external customers.
• Ability to use a telephone, fax, copier, and all other equipment associated with nursing practice.
• Ability to stand/walk 90% of the shift, frequent pushing, climbing, bending, reaching, stooping, squatting and helping lift objects and patients ranging from five (5) to three hundred (300) pounds.
• Ability to use hands, fingers, arms and wrists, hearing, smell, and verbal skills are required in order to perform job duties.
• Color vision is required for perceiving changes in skin color and using color-coded tubing lines
• Utilize face shields/mask, gloves, protective clothing, safety glasses, and other protection associated with the care of patients.

Credentials and Experience Required

• Graduate of an accredited nursing school required; Bachelor's Degree in Nursing preferred.
• Three (3) years of prior, related ed experience preferred.
• Current, valid Massachusetts Registered Nurse ("RN) license required.
• Professional certification in applicable nursing field(s) preferred.
• BLS/CPR certification required within one week of hire. AHA & ARC accepted.
• ACLS and PALS certification required prior to completion of orientation or within 6 months of hire, whichever occurs first.
• TNCC & NRP preferred.
• CPI/AVADE/MOAB training preferred.

Special Requirements

• Must be available to work day, evening and/or night shift as well as rotation on weekends as assigned. Must be able to rotate to units as assigned.
• Must be willing to work additional shifts as assigned.
• Must be available to stay overnight should need arise during patient transports off island.
• May be exposed to the following hazards: temperature fluctuations, moderate noise levels, minimal dust, infectious diseases and other chemicals as customarily used in a hospital setting. Exposure to various hazards in handling patient transports.
• Must be available to work overtime as needed to complete all job duties.
• Must be available to work in the case of a Hospital declared emergency.

Additional Job Details (if applicable)

Physical Requirements

• Standing Frequently (34-66%)
• Walking Frequently (34-66%)
• Sitting Occasionally (3-33%)
• Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
• Carrying Frequently (34-66%) 20lbs - 35lbs
• Pushing Occasionally (3-33%)
• Pulling Occasionally (3-33%)
• Climbing Rarely (Less than 2%)
• Balancing Frequently (34-66%)
• Stooping Occasionally (3-33%)
• Kneeling Occasionally (3-33%)
• Crouching Occasionally (3-33%)
• Crawling Rarely (Less